ABSTRACT
Background: Iron-deficiency anemia is the most common medical problem. The common causes of iron-deficiency anemia in children are inadequate iron intake or the result of a parasitic infestation. We report a case of hemangioma, which caused prolonged gastrointestinal bleeding and a subsequent iron-deficiency anemia.Objective: To report the treatment of iron-deficiency anemia caused by a hemangioma at the jejunoileal junction.Results: A seven-month-old male was admitted with anemia. A physical examination revealed marked paleness but no hepatosplenomegaly. Laboratory evaluations indicated an iron-deficiency anemia and positive stool blood occult. The infant was treated for a cow’s milk allergy by changing to isomil, for iron deficiency anemia by iron supplyment. The iron-deficiency anemia remained unresolved after 4 months. Then a Pertechnetate scintigraphy showed an abnormal increased uptake at left lower abdomen suggesting the lesion had a gastric mucosa component. Surgery revealed a worm-like vascular structure with contact bleeding at the serosal surface of the jejunoileal junction. A segmental small bowel resection, with end-to-end anastomosis, and appendectomy were performed. A pathological examination confirmed hemangioma, so the child was given iron supplements. His condition was stable at the six-month follow-up. Conclusion: Hemangioma at the jejunoieal junction caused prolonged gastrointestinal bleeding and an iron-deficiency anemia.