A case of a giant colonic hemangioma presenting as iron deficiency anemia - 22/08/11
Doi : 10.1016/j.gie.2006.11.056
| Commentary The term used to describe any kind of cavern formation is speleothem, from the Greek roots spelaion, meaning cave, and thema, a deposit or offering to the gods. Just as with the well-known stalactite and stalagmite, and the lesser known helictite, cave beacon and flowstone, the cavernous hemangioma also can allow mineral deposition with calcium, and may resemble a collection of cave pearls. Indeed, the presence of a cavernous hemangioma of the rectum can be suspected on plain film examination, just by the collection of such phleboliths in the pelvis of an infant or older child and in an adult with accompanying distortion of the rectal air column. The association of colonic hemangiomas and cutaneous vascular lesions is unusual and brings to mind only a few disorders: Klippel-Trenaunay-Sturge-Weber syndrome, diffuse intestinal hemangiomatosis, universal (miliary) hemangiomatosis, and blue rubber bleb nevus syndrome. Treatment today calls for our entire armamentarium, including resection, angiographic embolization, and endoscopic ablation with lasers and argon plasma coagulation as the situation demands. Lawrence J. Brandt, MD Associate Editor for Focal Points |
© 2007
American Society for Gastrointestinal Endoscopy. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
Vol 65 - N° 7
P. 1079-1080 - juin 2007 Regresar al número
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