Aldape-Mora A, Ramírez-Reyes D, Gómez-Arámbulo R, Reyna-López BG, Salazar-Almanza AA, Carrillo LM

Language: Spanish
References: 12
Page: 24-27
PDF size: 241.80 Kb.

ABSTRACT

Introduction: Cavernous hemangiomas are tumors composed of dilated blood vessels that contain spaces filled with blood due to the thinning of the wall of their capillaries. Its presentation is very rare within the gastrointestinal tract. They have associated complications such as intestinal perforation, intussusception, gastrointestinal bleeding, and bleeding into the peritoneal cavity. As it is a disease with a low prevalence but with a surgical implication, it is necessary to know its differential diagnosis and be prepared for its identification in the intraoperative period and be familiar with the treatment. Clinical case: The case of an 8-year-old patient with an acute abdomen is presented, performing diagnostic laparoscopy in which hemoperitoneum and a tumor originating from the omentum as the origin of the bleeding was observed. The tumor was completely resected. A cavernous hemangioma of the omentum was reported in the histopathology report. Conclusion: The cavernous hemangioma of the omentum can present as a case of acute abdomen that warrants urgent surgical treatment without the possibility of carrying out extension studies that can make the preoperative diagnosis, making of the laparoscopic approach an excellent option in these cases, as well as a good treatment route with complete resection, adequate control of bleeding, and a low recurrence rate.

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