关键词: anal mucosa cavernous cd34+ fallopian tube hemangioma hemorrhoids vascular tumors

来  源:   DOI:10.7759/cureus.64390   PDF(Pubmed)

Abstract:
Benign vascular neoplasms, or hemangiomas, can develop anywhere in the body.As they are usually asymptomatic, they are discovered incidentally while evaluating other coexisting diseases or conditions. We herein report two cases of capillary hemangioma at two extremely rare sites. A woman in her early 30s with a history of nine months of amenorrhea came for safe confinement and underwent an elective lower segment cesarean section (LSCS) with bilateral concurrent tubectomy. Another case involved a man in his 40s who presented with bleeding per rectum for three months. Per rectal examination, two purplish red masses were noted at the 3 and 11 o\'clock positions, which were noncompressible and did not bleed on touch. Subsequently, a hemorrhoidectomy was performed. A well-defined vascular lesion in the fallopian tube and hemorrhoidal tissue were seen during the histopathological examination, which was compatible with a capillary hemangioma. The vascular endothelium was emphasized by immunostaining with CD34.Due to the potential for these lesions to manifest as surgical emergencies, it is imperative for surgeons to recognize and appropriately manage such presentations.
摘要:
良性血管肿瘤,或血管瘤,可以在身体的任何地方发展。因为它们通常是无症状的,它们是在评估其他共存疾病或病症时偶然发现的。我们在此报告在两个极为罕见的部位发生了两例毛细血管瘤。一名30多岁的女性,有9个月的闭经史,她安全分娩,并接受了选择性下段剖宫产术(LSCS),并进行了双侧同期输卵管切除术。另一起案件涉及一名40多岁的男子,他每个直肠出血三个月。每次直肠检查,在3点和11点位置注意到两个紫红色的肿块,它们是不可压缩的,触摸时不会流血。随后,进行了痔疮切除术.在组织病理学检查中可见输卵管和痔疮组织的明确血管病变,与毛细血管血管瘤相容。用CD34免疫染色强调血管内皮。由于这些病变有可能表现为手术紧急情况,外科医生必须识别并适当管理此类表现。
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