1 - Serviço de Radiologia, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa;
2 - Serviço de Radiologia, Hospital Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisboa;
- Publicação como case report - Journal of the Belgian Society of Radiology
Case report: A four-month-old girl presented with recurrent low gastrointestinal hemorrhage. Abdominal ultrasound showed diffuse parietal thickening and hyperemia of the colon. Computed tomography (CT) demonstrated diffuse thickening of the colon but also intense arterial globular mural enhancement with diffuse filling in the portal phase. Colonoscopy revealed multiple pseudopolipoid lesions along the colon which were histologically diagnosed as hemangiomas. The infant was diagnosed with gastrointestinal hemangiomatosis and was treated with propranolol resulting in complete resolution of symptoms.
Teaching point: Although rare, the possibility of intestinal hemangiomatosis should be considered in the setting of rectal bleeding in an infant.
Palavras Chave: Bleeding, Hemangiomatosis, Infant, Intestinal, Rectal