PMC2259327_01
Cutaneous haemangiomas affecting right chest wall.
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F1
General examination showed several subcutaneous compressible bluish skin lesions around neck, chest and abdomen (Figure 1).
CT scan of abdomen showing i) multiple intussusceptions demonstrating doughnut signs (white arrows), intussusceptiens [A], intussusceptum [B], distended loop of small bowel [C] and ii) haemangioma of right quadratus lumborum muscle (dark arrow).
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F2
Computed Tomography (CT) of abdomen revealed i)dilated loops of small bowel ii)'doughnut' signs, suggestive of intussusception, affecting small bowel at three different levels iii)subcapsular hepatic haemangiomas affecting segment six and iv)intramuscular haemangioma involving right quadratus lumborum muscle (Figure 2).
Specimen of limited right hemicolectomy showing terminal ileum [A], caecum [B] and ascending colon [C], and demonstrating multiple haemangiomas affecting mucosa and submucosa (arrows).
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F3
Resections of the intussusceptions with primary anastomosis of small bowel segments and limited right hemicolectomy were performed (Figure 3).