{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T04:52:52Z","timestamp":1779166372399,"version":"3.51.4"},"reference-count":39,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Gastrointestinal hemangiomas (GIH) are unusual vascular tumors found anywhere alongside the GI tract, the small bowel being the most common site. Diagnosis requires good clinical insight and modern imaging. This is a comprehensive review of the literature, starting from a new pediatric case diagnosed through exploratory laparotomy after complex imaging techniques failed. This research was conducted on published articles from the past 25 years. We identified seventeen original papers (two series of cases with three and two patients, respectively, and fifteen case reports). The female\/male ratio was 1.5. The youngest patient was a 3-week-old boy, and the was oldest a 17-year-old girl. The most common localization was the jejunum (eight cases), followed by the ileum (four), colon (three), stomach (two), and rectum (one). Seven children had cavernous and four had capillary hemangiomas. Eight patients presented gastrointestinal bleeding, seven had refractory anemia, such as our index patient, three had recurrent abdominal pain, and two had bowel obstruction. Surgical assessment was successful in fifteen cases; three cases experienced great outcomes with oral propranolol, one child was treated successfully with sirolimus, and for one patient, endoscopic treatment was the best choice. The authors present the case of a female patient admitted to the Pediatrics Department of \u201cGrigore Alexandrescu\u201d Emergency Children\u2019s Hospital from 25 February to 28 March 2019 for severe anemia, refractory to oral iron treatment, and recurrent blood infusions. No clear bleeding cause had been found. Although very uncommon, intestinal hemangiomas can express puzzling, life-threatening symptoms. We should keep in mind this disorder in cases of unresponsive chronic anemia.<\/jats:p>","DOI":"10.3390\/diagnostics14030310","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T09:41:59Z","timestamp":1706694119000},"page":"310","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["From Severe Anemia to Intestinal Hemangiomatosis, a Bumpy Road\u2014A Case Report and Literature Review"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0363-5995","authenticated-orcid":false,"given":"Raluca Maria","family":"Vlad","sequence":"first","affiliation":[{"name":"\u201cGrigore Alexandrescu\u201d Emergency Children\u2019s Hospital, 011743 Bucharest, Romania"},{"name":"Department of General Medicine, Pediatrics, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruxandra","family":"Dobritoiu","sequence":"additional","affiliation":[{"name":"\u201cGrigore Alexandrescu\u201d Emergency Children\u2019s Hospital, 011743 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"Niculescu","sequence":"additional","affiliation":[{"name":"\u201cSf Ioan\u201d Children\u2019s Hospital, 800487 Galati, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreea","family":"Moga","sequence":"additional","affiliation":[{"name":"\u201cGrigore Alexandrescu\u201d Emergency Children\u2019s Hospital, 011743 Bucharest, Romania"},{"name":"Department of General Medicine, Pediatrics, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Balanescu","sequence":"additional","affiliation":[{"name":"\u201cGrigore Alexandrescu\u201d Emergency Children\u2019s Hospital, 011743 Bucharest, Romania"},{"name":"Department of General Medicine, Pediatrics, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8604-8691","authenticated-orcid":false,"given":"Daniela","family":"Pacurar","sequence":"additional","affiliation":[{"name":"\u201cGrigore Alexandrescu\u201d Emergency Children\u2019s Hospital, 011743 Bucharest, Romania"},{"name":"Department of General Medicine, Pediatrics, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.epsc.2014.06.004","article-title":"Successful treatment of visceral infantile hemangioma of the omentum and mesentery with propranolol","volume":"2","author":"Rubinstein","year":"2014","journal-title":"J. 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