HEMANGIOME DU GRELE (A PROPOS D’UN CAS)

The small bowel hemangioma is a rare vascular tumour, can be revealed by a digestive hemorrhage. The authors report a 46 years old patient presenting a jejunal hemangioma discovered by a secondary severe anemia with repeated episodes of moelena. Endoscopic and radiological explorations were not evocative. The diagnosis was retained by the peroperative enteroscopy. The surgical operation consisted of an ileal exeresis with a termino-terminal anastomosis. The histologic study showed a diffuse intestinal hemangiomatosis. The postoperative continuations were marked by the bleeding repetition. The diffuse hemangiomas raise two difficulties: on the one hand, a problem of positive diagnosis, and on the other hand, a problem of therapeutic management, which obscures their prognosis.