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Case Reports
. 2017 Jun;20(2):134-137.
doi: 10.5223/pghn.2017.20.2.134. Epub 2017 Jun 28.

Gastric Hemangioma Treated with Argon Plasma Coagulation in a Newborn Infant

Young Ah Lee  1 , Peter Chun  2 , Eun Ha Hwang  2 , Yeoun Joo Lee  2 , Chang Won Kim  3 , Jae Hong Park  2
Affiliations
Case Reports

Gastric Hemangioma Treated with Argon Plasma Coagulation in a Newborn Infant

Young Ah Lee et al. Pediatr Gastroenterol Hepatol Nutr. 2017 Jun.

Abstract

Gastric hemangioma in the neonatal period is a very rare cause of upper gastrointestinal bleeding. We present a case of hemangioma limited to the gastric cavity in a 10-day-old infant. A huge, erythematous mass with bleeding was observed on the lesser curvature side of the upper part of the stomach. Surgical resection was ruled out because the location of the lesion was too close to the gastroesophageal junction. Medical treatment with intravenous H2 blockers, octreotide, packed red blood cell infusions, local epinephrine injection at the lesion site, application of hemoclip, and gel-form embolization of the left gastric artery did not significantly alter the transfusion requirement. Hemostasis was achieved with endoscopic argon plasma coagulation (APC). After two sessions of APC, complete removal of the lesion was achieved. APC was a simple, safe and effective tool for hemostasis and the ablation of gastric hemangioma without significant complications.

Keywords: Argon plasma coagulation; Hemangioma; Neonate; Stomach.

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Figures

Fig. 1
Fig. 1. Endoscopic image of the gastric hemangioma, showing a huge, erythematous mass with bleeding on the lesser curve side of the upper part of the stomach.
Fig. 2
Fig. 2. (A) Endoscopic image of initial argon plasma coagulation (APC) showing necrotic tissue on the surface of the treated area. (B) Endoscopic image after second APC performed 18 days after initial APC.
Fig. 3
Fig. 3. Follow-up endoscopic image at 9 months after initial APC showing complete ablation of hemangioma without complications.
See this image and copyright information in PMC

References

    1. Menon P, Rao KL, Bhasin S, Vanitha V, Thapa BR, Lal A, et al. Giant isolated cavernous hemangioma of the stomach. J Pediatr Surg. 2007;42:747–749. - PubMed
    1. Bamanikar AA, Diwan AG, Benoj D. Gastric hemangioma: an unusual cause of upper gastrointestinal bleed. Indian J Gastroenterol. 2004;23:113–114. - PubMed
    1. Fishman SJ, Burrows PE, Leichtner AM, Mulliken JB. Gastrointestinal manifestations of vascular anomalies in childhood: varied etiologies require multiple therapeutic modalities. J Pediatr Surg. 1998;33:1163–1167. - PubMed
    1. López-Gutiérrez JC. Hemangiomas and vascular malformations of the stomach. J Pediatr Surg. 2007;42:1634–1635. - PubMed
    1. Nagaya M, Kato J, Niimi N, Tanaka S, Akiyoshi K, Tanaka T. Isolated cavernous hemangioma of the stomach in a neonate. J Pediatr Surg. 1998;33:653–654. - PubMed

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