Mixed cavernous hemangioma-lymphangioma of the jejunum: detection by wireless capsule endoscopy.

red for evaluation of recurrent episodes of melena. Gastroscopy, colonoscopy with ileoscopy, and small-bowel computed tomography (CT) scanwere normal. Capsule endoscopy (Pill cam SB 2, Given Imaging, Yoqneam, Israel) disclosed a lesion with whitish carpet-like villi and superficial red spots with spontaneous bleeding at the proximal jejunum. At double-balloon enteroscopy (Fujinon, Saitama, Japan) the lesion occupied two-thirds of the lumen (●" Fig. 1). The involved segment was resected by laparoscopy (●" Fig. 2). Microscopy showed a mixed lesion with a central core of dilated cavernous vascular channels surrounded by dilated lymph vessels (●" Fig. 3). The diagnosis of a mixed cavernous hemangioma-lymphangioma was confirmed by immunostaining [1] (●" Fig. 4). A 59-year-old man (case 2) was admitted for two episodes of melena. Gastroscopy andcolonoscopywerenormal. Capsule enteroscopy revealed a polypoid lesion covered bywhitish and red spots at the proximal jejunum (●" Fig. 5), which was confirmed on double-balloon enteroscopy. The patient underwent single-port laparoscopy and the involved segment was resected. The lesion, 3.5 cm × 7 cm in size, corresponded to a mixed cavernous hemangioma-lymphangioma. Gastrointestinal cavernous hemangiomas are congenital benign vascular lesions that are usually located in the jejunum. Their endoscopic appearance at enterosMixed cavernous hemangioma-lymphangioma of the jejunum: detection by wireless capsule endoscopy