A Ruptured Sigmoid Mesocolon Hemangioma Presenting as Acute Abdomen: A Case Report and Review

A Ruptured Sigmoid Mesocolon Hemangioma Presenting as Acute Abdomen

  • Adnan Walid Specialist, Department of Pediatric Surgery, Imperial Hospital Limited, Chittagong, Bangladesh https://orcid.org/0000-0002-5479-8121
  • Utpak Das Registrar, Department of General & Minimal Invasive Surgery, Imperial Hospital Limited, Chittagong, Bangladesh, India
  • Dil Anziz Consultant, Department of Gynae & Obstetrics, Imperial Hospital Limited, Chittagong, Bangladesh
  • Saiful Islam Senior Medical Officer, Department of Accident & Emergency, Imperial Hospital Limited, Chittagong, Bangladesh
  • Mymoon Redwan Chowdhury MS (Final Part) Trainee, Department of Urology, Chittagong Medical College, Bangladesh
  • Utpol Chowdhury Consultant, Department of Pediatric Gastroenterology, Imperial Hospital Limited, Chittagong, Bangladesh
  • Puspita Chowdhury Registrar, Department of Radiology, Imperial Hospital Limited, Chittagong, Bangladesh
  • Effat Sharmin Registrar, Department of Accident & Emergency, Imperial Hospital Limited, Chittagong, Bangladesh https://orcid.org/0000-0003-2909-7275
  • Arunabha Mallick Senior Medical Officer, Department of Accident & Emergency, Imperial Hospital Limited, Chittagong, Bangladesh
  • Raju Das Senior Medical Officer, Department of Accident & Emergency, Imperial Hospital Limited, Chittagong, Bangladesh
  • Adnan Bin Saleh Senior Medical Officer, Department of Accident & Emergency, Imperial Hospital Limited, Chittagong, Bangladesh
Keywords: Hemangioma, Sigmoid mesocolon, Gastrointestinal

Abstract

Hemangiomas of the GI tract and mesentery are uncommon benign vascular lesions. While spontaneous bleeding distinguishes the gastrointesti- nal tumor variant, clinical signs of mesenteric hemangiomas are generally nonspecific. In the majority of cases, despite advances in imaging technology, surgery and histopathological analysis are still used to make final diagnoses. We present a case report of a 13-year-old female patient who was admitted with progressive lower abdominal pain and distension and suffered from persistent abdominal pain for 04 days. An irregular hypo-echoic area noted in left iliac fossa suggestive of bowel mass was detected on the ultrasound scan. Due to sonographic signs of an intraabdominal bowel mass, a diagnostic laparoscopy was performed, which revealed a large ruptured hemangioma originating from the sigmoid mesocolon. Although uncommon, pediatric surgeons should consider gastrointestinal hemangiomas as a possible differential diagnosis for large intraabdominal tumorous masses, particularly in young adults.

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Published
2022-04-16
How to Cite
Walid , A., Das , U., Dil Anziz, Saiful Islam, Mymoon Redwan Chowdhury, Utpol Chowdhury, Puspita Chowdhury, Effat Sharmin, Arunabha Mallick, Raju Das, & Adnan Bin Saleh. (2022). A Ruptured Sigmoid Mesocolon Hemangioma Presenting as Acute Abdomen: A Case Report and Review. Asian Journal of Clinical Pediatrics and Neonatology, 10(1), 4-7. Retrieved from https://aijournals.com/index.php/ajcpn/article/view/2289
Section
Original Article