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Miscellanea
Images in paediatrics
Giant mesenteric haemangioma presenting with severe anaemia
  1. Marco Maglione1,
  2. Carmine Mollica2,
  3. Gianfranco Vallone3,
  4. Simone Maurea4,
  5. Daniele Alberti5,
  6. Erasmo Miele1,
  7. Annamaria Staiano1
  1. 1Section of Paediatrics, Department of Translational Medical Sciences, Federico II University, Naples, Italy
  2. 2Biostructure and Bioimaging Institute, National Research Council, Naples, Italy
  3. 3Division of Paediatric Diagnostics, Department of Biomorphological and Functional Sciences, Federico II University, Naples, Italy
  4. 4Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy
  5. 5Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
  1. Correspondence to Professor Annamaria Staiano, Section of Paediatrics, Department of Translational Medical Sciences, Federico II University, Via Pansini 5, Naples 80131, Italy; staiano{at}unina.it

https://doi.org/10.1136/archdischild-2016-310999

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    Case presentation

    A 40-day-old infant presented with pallor and poor food intake, and was found to have normochromic normocytic anaemia and mild neutrophil leucocytosis. As late-onset sepsis was suspected, antibiotic therapy was started, with clinical improvement within 7 days, but haemoglobin levels remained below 8 g/dL. There was no evidence of bleeding or haemolysis, and no response to iron supplementation and a 4-week cow's milk protein elimination diet, and she was referred to our centre at 2.5 months of age.

    Abdominal MRI showed a vast pseudonodular mass involving and …

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    Footnotes

    • Contributors MM conceptualised and designed the study, and drafted the initial manuscript. CM carried out the MRI and CT studies, reviewed and revised the manuscript and contributed to the preparation of figures. GV performed the ultrasonography studies and contributed to the editing of the manuscript. SM carried out the MRI and CT studies, and took part in the preparation of the manuscript. DA performed the laparoscopic exploration and critically reviewed the manuscript. EM was responsible for the clinical management of the patient, reviewed and revised the manuscript. AS was responsible for the clinical management of the patient, conceptualised and designed the study, and critically reviewed the manuscript.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.