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Case Report

Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review

by
Kei Nomura
,
Tomoyoshi Shibuya
*,
Arisa Yuzawa
,
Masashi Omori
,
Rina Odakura
,
Masao Koma
,
Kentaro Ito
,
Eiji Kamba
,
Takafumi Maruyama
,
Osamu Nomura
,
Hirofumi Fukushima
,
Takashi Murakami
,
Kumiko Ueda
,
Dai Ishikawa
,
Mariko Hojo
and
Akihito Nagahara
Department of Gastroenterology, School of Medicine, Juntendo University, Bunkyo-ku, Tokyo 113-8421, Japan
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(12), 3415; https://doi.org/10.3390/jcm13123415
Submission received: 9 May 2024 / Revised: 3 June 2024 / Accepted: 8 June 2024 / Published: 11 June 2024
(This article belongs to the Special Issue Updates in Digestive Diseases and Endoscopy)
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Abstract

An 86-year-old man presented with anemia. He underwent abdominal contrast-enhanced computed tomography, gastroscopy, and colonoscopy without any bleeding detected. Small bowel capsule endoscopy (SBCE) revealed a reddish polypoid lesion with blood oozing into the jejunum. Antegrade double-balloon endoscopy (DBE) revealed a 5 mm sized protrusion into the jejunum. Endoscopic mucosal resection (EMR) was difficult; the lesion was snared and resected before energization. Clips prevented further bleeding and the lesion’s position was marked with a tattoo. Histopathological examination of the lesion led to a diagnosis of capillary hemangioma. After 11 months, the patient was again anemic. A reddish polypoid lesion oozing blood near the tattoo was found by SBCE. Another antegrade DBE showed a 7 mm sized protrusion near the tattoo. The lesion was successfully treated by EMR. Histopathological examination revealed the residual recurrence of a small intestinal capillary hemangioma. The patient recovered from anemia after the EMR. Two months later, SBCE showed no findings around the tattoo. Hemangiomas account for 7–10% of benign small intestinal tumors; most are cavernous hemangiomas, and capillary hemangiomas are rare. We report a rare case of a recurring small intestinal capillary hemangioma detected by SBCE and treated using DBE. We also review the literature.
Keywords: double-balloon endoscopy; residual recurrence; small bowel capsule endoscopy; small intestinal capillary hemangioma double-balloon endoscopy; residual recurrence; small bowel capsule endoscopy; small intestinal capillary hemangioma

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MDPI and ACS Style

Nomura, K.; Shibuya, T.; Yuzawa, A.; Omori, M.; Odakura, R.; Koma, M.; Ito, K.; Kamba, E.; Maruyama, T.; Nomura, O.; et al. Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review. J. Clin. Med. 2024, 13, 3415. https://doi.org/10.3390/jcm13123415

AMA Style

Nomura K, Shibuya T, Yuzawa A, Omori M, Odakura R, Koma M, Ito K, Kamba E, Maruyama T, Nomura O, et al. Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review. Journal of Clinical Medicine. 2024; 13(12):3415. https://doi.org/10.3390/jcm13123415

Chicago/Turabian Style

Nomura, Kei, Tomoyoshi Shibuya, Arisa Yuzawa, Masashi Omori, Rina Odakura, Masao Koma, Kentaro Ito, Eiji Kamba, Takafumi Maruyama, Osamu Nomura, and et al. 2024. "Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review" Journal of Clinical Medicine 13, no. 12: 3415. https://doi.org/10.3390/jcm13123415

APA Style

Nomura, K., Shibuya, T., Yuzawa, A., Omori, M., Odakura, R., Koma, M., Ito, K., Kamba, E., Maruyama, T., Nomura, O., Fukushima, H., Murakami, T., Ueda, K., Ishikawa, D., Hojo, M., & Nagahara, A. (2024). Residual Recurrence of a Small Intestinal Capillary Hemangioma with Obscure Gastrointestinal Bleeding Treated by Double-Balloon Endoscopy: A Case Report and Literature Review. Journal of Clinical Medicine, 13(12), 3415. https://doi.org/10.3390/jcm13123415

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