Small bowel capsule endoscopy revealing neuromuscular and vascular hamartoma of the jejunum: A case report. Issue 15 (April 2018)

• Record Type: Journal Article
• Authors: Caruso, Maria L.; Cavalcanti, Elisabetta; De Michele, Francesco; Ignazzi, Antonia; Carullo, Roberta; Mastronardi, Mauro
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 97:Issue 15(2018)
• Publication Date: 2018-04
• Subjects: capsule endoscopy -- digestive hemorrhage -- neuromuscular and vascular hamartoma (NMVH); Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000010196
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Digestive hemorrhage is a life-threatening and represents for both clinicians and patient a challenger problematic condition with the urgencies to discover the origin for correct the cause and safe the life of patient. Patient concerns: We report the case of a 58 -year-old man with extremely rare hamartomatous neurovascular lesion. Following recurrent episode of intestinal hemorrhage the patient underwent small bowel capsule endoscopy. Diagnoses: Diagnosed with small intestine neoplasia. Interventions: The patient underwent curative small bowel resection. Histologic diagnosis was neuromuscular and vascular hamartoma (NMVH). In the small intestine, neoplastic lesions are very rare (2%) and mostly malformative while the more frequent cause of cryptic digestive hemorrhage remains angiodysplasia (50%) . The preexisting NMVH was exacerbated by the use of non-steroidal anti-inflammatory drugs, causing hemorrhage due to diffuse ulceration. Outcomes: The patient stay healthy after treatment. Lessons: This is an hemorrhagic lesion with macroscopic "neoplastic" patterns due to abnormal mixing of normal indigenous tissue components. It poses a diagnostic challenge for clinicians and pathologists, but diagnosis is facilitated by capsule endoscopy and surgical treatment should provide definitive resolution.