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James F. Upson, MD; Ivan Bunnell, MD; Elias Kokkinopoulis, MD
Buffalo

JAMA. 1971;217(8):1104-1105.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The patient with gastrointestinal bleeding and without a definite diagnosis presents a difficulty. In 25% to 50% of patients with melena, the site of the bleeding remained undiagnosed.^1,2 Hemangiomas of the intestine are an uncommon cause of bleeding, and, when multiple, pose a problem in both diagnosis and treatment. They vary from a small vascular capillary hemangioma to a large cavernous hemangioma invading a considerable portion of the colon.^3,4 Brown⁵ classified the intestinal vascular tumors as follows: ( 1) multiple tumors appearing microscopically as either capillary or cavernous hemangiomas; (2) tumors growing from the submucosa toward the lumen and presenting with gastrointestinal hemorrhage; (3) tumors arising in the submucosa acting as leading points for intussusception; and (4) diffuse constrictive annular lesions beginning in the submucosa and invading the muscularis.

The outstanding clinical feature of hemangioma of the colon is recurrent hemorrhage from the bowel, which . . . [Full Text PDF of this Article]

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