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DOI: 10.4103/wjnm.WJNM_13_19
Unusual presentation of jejunal hemangioma on Tc-99m pertechnetate scan with single-photon emission computerized tomography-computed tomography

Abstract
Small bowel hemangioma is a rare benign tumor in the pediatric population. The usual presentation of these tumors is melena, anemia, or hematochezia. Our case demonstrates the usefulness of Meckel's/Tc-99m pertechnetate scan with single-photon emission computerized tomography/computerized tomography in diagnosing a vascular lesion in the small bowel in a child presenting with melena, unresponsive to medical management. We present a case of incidentally detected jejunal hemangioma during Tc-99m pertechnetate scintigraphy which would help the nuclear medicine physician and surgeon, to be cognizant of this atypical presentation in their clinical practice.
Financial support and sponsorship
Nil.
Publication History
Received: 18 February 2019
Accepted: 11 March 2019
Article published online:
22 April 2022
© 2019. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Magnano A, Privitera A, Calogero G, Nanfito' L, Basile G, Sanfilippo G, et al. Solitary hemangioma of the small intestine: An unusual cause of bleeding diagnosed at capsule endoscopy. J Pediatr Surg 2005;40:e25-7.
- 2 Huber A, Abdel Samie A, Kychenko D, Theilmann L. A rare cause of recurrent iron-deficiency anemia: Cavernous hemangioma of the small intestine. J Gastrointestin Liver Dis 2012;21:343.
- 3 Morgan DR, Mylankal K, el Barghouti N, Dixon MF. Small bowel haemangioma with local lymph node involvement presenting as intussusception. J Clin Pathol 2000;53:552-3.
- 4 Khan NA, Chandramohan M, McDonald S. Meckeldivertculum. Radiol Pediatr 2008;110:205-10.
- 5 Martin JP, Connor PD, Charles K. Meckel's diverticulum. Am Fam Physician 2000;61:1037-42, 1044.
- 6 Rosenthall L, Henry JN, Murphy DA, Freeman LM. Radiopertechnetate imaging of the Meckel's diverticulum. Radiology 1972;105:371-3.
- 7 Papparella A, Nino F, Noviello C, Marte A, Parmeggiani P, Martino A, et al. Laparoscopic approach to Meckel's diverticulum. World J Gastroenterol 2014;20:8173-8.
- 8 Park JH. Role of colonoscopy in the diagnosis and treatment of pediatric lower gastrointestinal disorders. Korean J Pediatr 2010;53:824-9.
- 9 Jones AE, Ainsworth BH, Desai A, Tsang TT. Small bowel hemangioma diagnosed with laparoscopy: Report of two pediatric cases. J Minim Access Surg 2007;3:29-31.
- 10 Bae SJ, Hwang G, Kang HS, Song HJ, Chang WY, Maeng YH, et al. Single cavernous hemangioma of the small bowel diagnosed by using capsule endoscopy in a child with chronic iron-deficiency anemia. Clin Endosc 2015;48:340-4.
- 11 Sakaguchi M, Sue K, Etoh G, Takagishi T, Ezaki T, Nakamura M, et al. A case of solitary cavernous hemangioma of the small intestine with recurrent clinical anemic attacks in childhood. J Pediatr Gastroenterol Nutr 1998;27:342-3.
- 12 Turcotte JF, Prasil P, Gagnon P, Castilloux J. Case 1: Recurrent iron-deficiency anemia in a teenager. Paediatr Child Health 2012;17:21-2.
- 13 Kavin H, Berman J, Martin TL, Feldman A, Forsey-Koukol K. Successful wireless capsule endoscopy for a 2.5-year-old child: Obscure gastrointestinal bleeding from mixed, juvenile, capillary hemangioma-angiomatosis of the jejunum. Pediatrics 2006;117:539-43.
- 14 Stojsic Z, Brasanac D, Kokai G, Vujovic D, Zivanovic D, Boricic I, et al. Intestinal intussusception due to a pyogenic granuloma. Turk J Pediatr 2008;50:600-3.
- 15 Han EC, Kim SH, Kim HY, Jung SE, Park KW. Gastrointestinal hemangioma in childhood: A rare cause of gastrointestinal bleeding. Korean J Pediatr 2014;57:245-9.
- 16 Coleman J, Phillips R, Steiner R. Small bowel hemangioma in a 2-year-old female with recurrent anemia. Ochsner J 2018;18:428-32.