RESUMO
Lobular capillary hemangioma is a benign lesion commonly affecting the head and neck region. However, in children, it is commonly seen in the buccal mucosa, gingiva, and the tongue, but its presence in the nasal cavity is less frequent. The most common symptoms of nasal hemangiomas are epistaxis and nasal obstruction. However, we present a case of a thirteen-year-old male having intranasal lobular capillary hemangioma with a 2-day history of left-sided epistaxis. The diagnosis is confirmed by histological examination, and the treatment is done by endonasal endoscopic excision of the hemangioma with cauterization of the feeding vessel has performed to remove the lesion completely. Moreover, the diagnosis of lobular capillary hemangioma must always be kept in mind when discussing the differential diagnosis of a bleeding mass within the nasal cavity, even though it is a rare condition and surgical excision is still the preferred first-line treatment.
RESUMO
INTRODUCTION: Gastrointestinal stromal tumors (GISTs) is the term used to describe rare stromal neoplasms that are located in the gastrointestinal tract, it most commonly arises in the stomach. GIST is usually asymptomatic and discovered incidentally by Computed Tomography (CT) or Endoscopy. PRESENTATION OF CASE: We report a case of incidental finding of GIST during Sleeve gastrectomy in a 56 year-old female that presented with a complaint of sever obesity and articular pain in lower limbs. The tumor was not compromising the performance of a save vertical gastric resection, so the resection was done and a mass specimen was sent for pathological examination that confirmed Gist with a low grade of malignancy. DISCUSSION AND CONCLUSION: As a conclusion, we recommend keeping in mind incidental finding of GIST during abdominal surgeries and especially Sleeve gastrectomy, in order to detect this tumor as earlier as possible and have a good prognosis with a low chance for recurrence.
