Gastrointestinal Hemangiomas in Infancy

A brief study (IW Soukoulis et al. JPGN 2015; 61: 415-20) makes several useful points about gastrointestinal infantile hemangiomas. This study retrospectively analyzed 16 children (14 less than 1 yr) and described the presentation and management of gastrointestinal hemangiomas.

Key points:

  • Most were female (14/16)
  • Melana, hematochezia and anemia were typical presentations, usually within the first 4 months of life
  • 9/16 also ahd some cutaneous hemangiomas.  These lesions were located predominantly in the midgut in the distribution of the SMA. Thus, endoscopy (EGD/colonoscopy) is mainly to exclude other etiologies.
  • Imaging usually will detect these lesions (High-resolution Ultrasound, CT, or MRI)
  • 1st line treatment: Propranolol and/or corticosteroids

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Sandy Springs

Sandy Springs

Liver Masses -Helpful Reference

A recent review (Clin Gastroenterol Hepatol 2014; 12: 1414-29) is a good reference for liver masses.

Topics include hepatocellular carcinoma, focal nodular hyperplasia, hepatic adenoma, cholangiocarcoma, hemangioma, hepatic abscess, liver imaging, and management advice.