대한대장항문학회

Cavernous hemangioma in the gastrointestinal tract is a rare benign vascular lesion,<br>which can produce massive or persistent blood loss. Herein, we present two cases of<br>gastrointestinal hemangiomas that could not be resected completely and were treated<br>with estrogen because of multiple involvement of the gastrointestinal tract and viscera,<br>including the anal canal. A 49-year-old male presented with unknown chronic melena<br>and anemia. Preoperative work-up could not reveal the definite cause of bleeding. During<br>exploration, hemangioma scattered in whole small bowel was identified and feeding<br>vessel ligation was performed. Postoperative recurrent bleedings were controlled by<br>additional estrogen therapy. A 25-year-old young woman had suffered from painless anal<br>bleeding with subsequent anemia since her youth. She had diffuse carvernous<br>hemangioma in the large intestine involving the anal canal and uterus. Total<br>proctocolectomy and ileal-pouch anal anastomosis was performed, however the uterine<br>hemangioma was left intact because the patient wanted to be pregnant. She was also<br>treated with estrogen, postoperatively. It is suggested that estrogen may be a good<br>alternative treatment modality for gastrointestinal hemangioma that can not be removed<br>completely.<br>