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

A Ruptured Sigmoid Mesocolon Hemangioma Presenting as Acute Abdomen

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.