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DOI: 10.48087/BJMS.2026.130413
Authors: Zakaria SEOUDI1, Mohamed STOUTAH1, Louiza IAICHE ACHOUR1, Farouk BAKHTI1, Samia ARAB2, Nour El-Imane DJEBBAR3, Abdelkrim ANOU1
Affiliations: 1- Department of General, Oncologic & Emergency Surgery. Douera University Hospital. Faculty of Medicine. Blida 1 University. Algeria. 2- Department of Anesthesiology, Resuscitation & Intensive Medicine. Douera University Hospital. Blida1 University. Algeria. 3- Department of Pathology. Douera University Hospital. Faculty of Medicine. Blida 1 University. Algeria.
Abstract
Gastrointestinal hemangiomas are benign, generally rare lesions with a predilection for the small intestine. Due to their rarity, they can easily go undetected in clinical practice. Diagnosing small bowel hemangiomas can be challenging, particularly given their wide range of clinical presentations that may mimic other conditions. While imaging is essential for diagnosis and treatment planning, it can also be a source of pitfalls, leading to confusion and misdiagnosis — most notably, erroneous classification as a malignant tumor, thereby complicating accurate preoperative diagnosis. We present here the case of a 58-year-old woman with a small bowel mass manifesting as abdominal pain, initially misdiagnosed as a tumor on imaging. This unusual case illustrates the difficulty of identifying a hemangioma preoperatively; the definitive diagnosis was ultimately established by histopathological examination following segmental intestinal resection. Through this case report, we aim to provide clinicians with practical insights to better recognize this rare pathology and to consider it in the differential diagnosis of small bowel tumors.
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Keywords: hemangioma, small intestine, case report.