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  • Title: Solitary hemangioma of the small bowel disclosed by wireless capsule endoscopy.
    Author: Pinho R, Rodrigues A, Proença L, Silva AP, Fernandes S, Leite S, Amaral I, de Sousa P, Fraga J.
    Journal: Gastroenterol Clin Biol; 2008 Jan; 32(1 Pt. 1):15-8. PubMed ID: 18405648.
    Abstract:
    A nine-year-old child presented with melena and anemia. She had similar symptoms five months earlier and had undergone an extensive workup with upper gastrointestinal endoscopy and colonoscopy, both normal and 99m-Tc-RBC-scintigraphy which was positive in the right lower quadrant. This time, capsule endoscopy was performed and disclosed an hemangioma with a dark spot suggesting recent bleeding in the ileum. The lesion was resected. Pathological examination revealed a transmural cavernous hemangioma. Small bowel hemangioma is a rare disease. Its diagnosis is extremely difficult and is usually obtained during surgery. Capsule endoscopy is an endoscopic technique that can improve preoperative diagnosis, as reported in the present case.
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