case_images: PMC4163179_01
case_images: Multiple hemangiomas on extremities
case_images: PAMJ-17-212-g001.jpg
case_images: PMC4163179_01_PAMJ-17-212-g001.jpg
case_images: F0001
case_images: Physical examination revealed dark bluish, compressible and refillable, multiple papules with definite boundary on trunk and extremities (Figure 1), as well as fixed tenderness in lower abdomen without guardness.
case_images: Typical sign of intestinal intussusception in abdominal CT scan: concentric circle (white arrow)
case_images: PAMJ-17-212-g002.jpg
case_images: PMC4163179_01_PAMJ-17-212-g002.jpg
case_images: F0002
case_images: Abdominal computed tomography on admission demonstrated the presence of intestinal intussusception according to the typical sign of concentric circle (Figure 2), thus an exploratory laparotomy was determined.
case_images: Gastric angeioma discovered via intraoperative gastroduodenoscopy
case_images: PAMJ-17-212-g003.jpg
case_images: PMC4163179_01_PAMJ-17-212-g003.jpg
case_images: F0003
case_images: During the course of tentative manual reduction, two serosal hemangiomas on the incarcerated intestinal was detected (Figure 3), which necessitated the following removal of incarcerated intestine.
case_images: Blue rubber blebs in excised small intestine
case_images: PAMJ-17-212-g004.jpg
case_images: PMC4163179_01_PAMJ-17-212-g004.jpg
case_images: F0004
case_images: To exclude the potential gastrointestinal venous malformation anywhere else, intraoperative esophagogastroduodenoscopy was performed and then a wedge gastrectomy was carried out because of a isolated angioeoplasm found in gastric lumen (Figure 4).
case_images: Microscopically, the dilated blood vessel was alternately covered with collagenous fibers (blue arrow) and a single layer of endothelial cells (H&E x200)
case_images: PAMJ-17-212-g005.jpg
case_images: PMC4163179_01_PAMJ-17-212-g005.jpg
case_images: F0005
case_images: The postoperative course was uneventful and pathological examination revealed multiple cavernous hemangiomas in the resected gastrointestines and eventually the patient recovered uneventfully (Figure 5).