Hemangioma of the Cecum Diagnosis By Angiography

Abstract

<h3>To the Editor.—</h3> The patient with gastrointestinal bleeding and without a definite diagnosis presents a difficulty. In 25% to 50% of patients with melena, the site of the bleeding remained undiagnosed.^1,2Hemangiomas of the intestine are an uncommon cause of bleeding, and, when multiple, pose a problem in both diagnosis and treatment. They vary from a small vascular capillary hemangioma to a large cavernous hemangioma invading a considerable portion of the colon.^3,4Brown⁵classified the intestinal vascular tumors as follows: ( 1) multiple tumors appearing microscopically as either capillary or cavernous hemangiomas; (2) tumors growing from the submucosa toward the lumen and presenting with gastrointestinal hemorrhage; (3) tumors arising in the submucosa acting as leading points for intussusception; and (4) diffuse constrictive annular lesions beginning in the submucosa and invading the muscularis. The outstanding clinical feature of hemangioma of the colon is recurrent hemorrhage from the bowel, which