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Year : 2016  |  Volume : 1  |  Issue : 2  |  Page : 10-14

Gastric hemangiomas in children

1 Department of Paediatric Surgery, “Spedali Civili” Children’s Hospital, 25123 Brescia, Italy
2 Department of Paediatric Surgery, “papa Giovanni XXIII” Hospital, 24127 Bergamo, Italy
3 Department of Paediatric Surgery, “Spedali Civili” Children’s Hospital; Department of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy

Correspondence Address:
Filippo Parolini
Department of Paediatric Surgery, “Spedali Civili” Children’s Hospital, 25123 Brescia
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Source of Support: None, Conflict of Interest: None

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Aim: Gastric hemangiomas (GHs) are rare vascular tumors representing an extremely uncommon cause of gastrointestinal bleeding in children. Up to now, only few cases have been reported in pediatric literature. Methods: The Authors report the case of a 6-year-old-girl with GH presenting with hypovolemic shock due to acute gastro-intestinal bleeding. Focusing on diagnostic and therapeutic assessment, a detailed systematic review of pediatric literature on GH is provided. Results: In our patient a combination of abdominal ultrasound, endoscopy and CT scan were helpful in reaching a diagnosis. Gastric antrum resection and Billroth’s I gastro-duodenal anastomosis was curative. Conclusions: A not invasive diagnostic work-up, including ultrasound as first line examination should be performed in every previous healthy children presenting acute and/or chronic GI bleeding. Once diagnosis of GH is made the appropriate endoscopical and/or surgical treatment should be accomplished as early as possible to avoid severe and potentially life-threatening complications.

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