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Logo of jclinpathJournal of Clinical PathologyVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
 
J Clin Pathol. 2000 July; 53(7): 552–553.
PMCID: PMC1731219

Small bowel haemangioma with local lymph node involvement presenting as intussusception

Abstract

Gastrointestinal haemangiomas make up 0.05% of all intestinal neoplasms. They are sometimes multiple and usually present with pain, bleeding, and obstruction. An associated haemangiomatous change in regional lymph nodes has not been reported previously. A woman of 21 years presented with abdominal pain and vomiting. Abdominal ultrasound and computed tomography scan showed a lower abdominal mass. Laparotomy revealed a small bowel tumour causing an intussusception together with enlarged mesenteric lymph nodes. Pathological examination revealed a small bowel haemangioma with mesenteric node involvement. The pathogenesis of haemangiomatous involvement of lymph nodes is discussed. Hamartomatous change is the likely cause in this patient.

Key Words: haemangioma • lymph node • intussusception • small bowel

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Figure 1 Ultrasound results. Transverse image of left mid abdomen showing a 5 cm in diameter intraluminal lobulated tumour within the dilated small bowel.
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Figure 2 Jejunal haemangioma. Low power view showing large (cavernous) spaces partly filled with red blood cells in the submucosa and mucosa (haematoxylin and eosin stained; magnification, x16). The inset shows the disrupted mucosa occupied by endothelial-lined ...
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Figure 3 Vascular lesion in mesenteric lymph node. The node is almost completely replaced by large, blood filled spaces that separate thin trabeculae of lymphoid tissue and a rim of atrophied cortex (haematoxylin and eosin stained; magnification, x40). ...

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