Case Report

Small Bowel Hamartoma: A Huge Diverticulum of Small Bowel

Table 1

Summaries of the reported small intestine (ileal) hamartomas with the macro- and microscopic appearances.

AuthorHamartomaNOC reportedAge and sexPresentation/symptomsTreat.Macroscopic appearanceMicroscopic appearance

Fernando and McGovern (1982) [6]NMVH230 y/FChronic GIT bleedingSRStricture SM, NF, and VC
36 y/FAbdo. pain, vomiting, and constipationSRStricture
Smith et al. (1986) [1]NMVH150 y/FCh. abdo. pain, vomiting, and abdo. massSRStricture SM, NF, and VC
Shepherd and Jass (1987) [7]NMVH434 y/FCh. abdo. pain and D&V.SRStricture SM, NF, and VC
58 y/MCh. abdo. pain and diarrheaStricture
73 y/FCh. abdo. painStricture
63 y/FColicy abdo. painStricture
Kwasnik et al. (1989) [8]NMVH191 y/MGIT bleeding and IO symptomsSRStricture and massSM, ganglia, fib. T., lymph., and VC
Salas et al. (1990) [9]NMH155 y/FCh. abdo. pain, dist., and diarrheaSRStricture SM, fib. and adipose T., NF, and VC
Gonzalvez et al. (1995) [10]MEH12 y/MVomiting and GIT bleedingSR Intussusception SM and GE
Yamagami et al. (1997) [11]MEH14 m/MAbdo. pain and vomiting SRIntussusception GE and SM
Di Benedetto et al. (1998) [12]IH112 y/MAbdo. pain, vomiting, and rectal bleedingSRIntraluminal polypoid mass GE and SM
Cortina et al. (1999) [13]NMVH273 y/MIO symptomsSRStricture SM, NF, VC, collagen, and ganglia
76 y/MIO symptomsStricture
Zolota et al. (2000) [14]NMVH140 y/MAbdo. pain and diarrhoea followed by IOSRStricture SM, NF, and VC
de Sanctis et al. (2001) [15]NMVH176 y/FIO symptomsSRStricture SM, NF, VC, and fibrous tissues
Ikegami et al. (2006) [4]MEH15 m/FVomiting SRIntussusception GE and SM
Lin et al. (2011) [16]Hamartoma113 y/MAbdo. pain, constipation SRIntussusception Adipose tissues and VC
Krishnamurthy et al. (2010) [17]NMVH132 y/MIO symptomsSRIntussusception SM, NF, VC, and lymphoplasmacytic infiltrates

NOC: number of cases, Treat.: treatment, NMVH: neuromuscular and vascular hamartoma, MEH: myoepithelial hamartoma, NMH: neuromesenchymal hamartoma, IH: intraluminal hamartoma, GIT: gastrointestinal tract, Ch.: chronic, abdo.: abdominal, D&V: diarrhoea and vomiting, dist.: distension, IO: intestinal obstruction, SR: surgical resection, SM: smooth muscles, NF: nerve fibres, VC: vascular channels, lymph.: lymphatics, GE: glandular epithelium, and fib. T.: fibrous tissues.