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. 2011 Nov;2(6):1073-1075.
doi: 10.3892/ol.2011.364. Epub 2011 Jul 21.

Gastric cavernous hemangioma: A rare case with upper gastrointestinal bleeding

Liang Zong  1 , Ping Chen, Guo Hao Shi, Lei Wang
Affiliations

Gastric cavernous hemangioma: A rare case with upper gastrointestinal bleeding

Liang Zong et al. Oncol Lett. 2011 Nov.

Abstract

Upper gastrointestinal bleeding caused by a gastric hemangioma is a relatively rare occurrence. We report the case of a 65-year-old woman who suffered a sudden onset of hematemesis. Endoscopy revealed a 4×3 cm mass located in the gastric fundus. Abdominal contrast-enhanced CT revealed the shadow of enhancing linear blood vessels located in the gastric fundus. Based on her clinical appearance and the laboratory results, the patient was diagnosed with gastric hemangioma. In the laparotomy, a proximal gastrectomy was performed. The final diagnosis of cavernous hemangioma arising from the gastric fundus was confirmed by postoperative pathological examination.

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Figures

Figure 1
Figure 1
(A) Emergency endoscopy revealed a mass located in the gastric fundus with active hemorrhaging at the surface. (B) The bleeding is controlled by injecting 1:10,000 adrenaline.
Figure 2
Figure 2
(A) Computed tomography showing a circuitous and nodal shadow located in the gastric fundus. (B) Contrast-enhanced computed tomography showing the shadow of enhancing linear blood vessels.
Figure 3
Figure 3
Pathological section with H&E staining showing (A) large tortuous arterial vessels located in the submucosa with simple squamous epithelium in the lining of lumens. (B) Surrounding normal gastric tissue.
See this image and copyright information in PMC

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