Intestinal Hemangiomatosis: Case Report of an Uncommon Cause of Rectal Bleeding
- Resource Type
- article
- Authors
- Rita Pina-Prata; Carina A. Ruano; Vera B. Carvalho; Ana Nunes; Eugénia Soares
- Source
- Journal of the Belgian Society of Radiology, Vol 107, Iss 1 (2023)
- Subject
- pediatrics
radiology
gastroenterology
hemangioma
intestinal
Medical physics. Medical radiology. Nuclear medicine
R895-920
- Language
- English
- ISSN
- 2514-8281
A four-month-old girl presented with recurrent low gastrointestinal hemorrhage. Abdominal ultrasound showed diffuse parietal thickening and hyperemia of the colon. Computed tomography (CT) demonstrated diffuse thickening of the colon but also intense arterial globular mural enhancement with diffuse filling in the portal phase. Colonoscopy revealed multiple pseudopolipoid lesions along the colon which were histologically diagnosed as hemangiomas. The infant was diagnosed with gastrointestinal hemangiomatosis and was treated with propranolol resulting in complete resolution of symptoms. Teaching point: Although rare, the possibility of intestinal hemangiomatosis should be considered in the setting of rectal bleeding in an infant.