CASE REPORT article
Front. Pediatr.
Sec. Pediatric Gastroenterology, Hepatology and Nutrition
Volume 13 - 2025 | doi: 10.3389/fped.2025.1654913
This article is part of the Research TopicCase reports in Pediatric Gastroenterology, Hepatology, and Nutrition 2025View all articles
Cavernous hemangioma of the small intestine in a teenage boy: A case report and literature review
Provisionally accepted
Tian Xie
Yi Long*- Hunan Provincial People's Hospital, Changsha, China
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Abstract Background Cavernous hemangioma of the small intestine is a rare disease. Due to its hidden location and non-specific clinical symptoms, it is difficult to diagnose accurately. Here, we describe a 14-year-old boy with cavernous hemangioma bleeding at the junction of the jejunum and ileum. Case summary The patient presented with clinical manifestations including melena, dizziness, fatigue, pale complexion, and shock. Contrast-enhanced abdominal computed tomography (CT) identified a hyperdense lesion within the small bowel lumen. Digital subtraction angiography (DSA) revealed aneurysmal changes in the mid-to-lower abdominal branches of the ileojejunal artery, which was suggestive of hemorrhage originating from a small intestinal hemangioma. However, subsequent DSA-guided interventional embolization failed to achieve hemostasis. Following a hospital-wide multidisciplinary consultation, laparoscopic exploration was conducted. During the procedure, a 1.5 × 1.5 cm mass was detected at the ileojejunal junction and successfully resected. Postoperative pathological examination confirmed the lesion as a cavernous hemangioma. One week after surgery, the patient's hemoglobin level increased to 86 g/L, with no recurrence of bloody stools. At the one-month follow-up, no signs of disease recurrence were observed. Conclusion This case report presents significant clinical implications for the diagnosis and management of small intestinal cavernous hemangiomas in the pediatric population.
Keywords: Cavernous hemangioma, Hematochezia, Children, Anemia, Multidisciplinary collaboration
Received: 27 Jun 2025; Accepted: 22 Aug 2025.
Copyright: © 2025 Xie and Long. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yi Long, Hunan Provincial People's Hospital, Changsha, China
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