Incidental Hemangioma in Tubectomy and Hemorrhoidectomy Specimens: A Report of Two Cases

TL;DR

Two rare cases of hemangiomas were found during unrelated surgeries, highlighting the importance of recognizing such incidental findings.

Contribution

Reports two rare occurrences of capillary hemangiomas in unusual locations during tubectomy and hemorrhoidectomy procedures.

Findings

A capillary hemangioma was found in the fallopian tube during a tubectomy procedure.

A vascular lesion compatible with capillary hemangioma was identified in hemorrhoidal tissue.

CD34 immunostaining confirmed the vascular nature of the lesions.

Abstract

Benign vascular neoplasms, or hemangiomas, can develop anywhere in the body.As they are usually asymptomatic, they are discovered incidentally while evaluating other coexisting diseases or conditions. We herein report two cases of capillary hemangioma at two extremely rare sites. A woman in her early 30s with a history of nine months of amenorrhea came for safe confinement and underwent an elective lower segment cesarean section (LSCS) with bilateral concurrent tubectomy. Another case involved a man in his 40s who presented with bleeding per rectum for three months. Per rectal examination, two purplish red masses were noted at the 3 and 11 o'clock positions, which were noncompressible and did not bleed on touch. Subsequently, a hemorrhoidectomy was performed. A well-defined vascular lesion in the fallopian tube and hemorrhoidal tissue were seen during the histopathological examination, which was compatible with a capillary hemangioma. The vascular endothelium was emphasized by immunostaining with CD34.Due to the potential for these lesions to manifest as surgical emergencies, it is imperative for surgeons to recognize and appropriately manage such presentations.

Figures