Small intestinal vascular malformation bleeding: a case report with imaging findings.

Abstract:

:The small intestine is approximately 5-6 m long and occupies a large area in the abdominal cavity. These factors preclude the use of ordinary endoscopy and X-ray to thoroughly examine the small intestine for bleeding of vascular malformations. Thus, the diagnosis of intestinal bleeding is very difficult. A 47-year-old man presented at the hospital 5 mo ago with dark stool. Several angiomas were detected by oral approach enteroscopy, but no active bleeding was observed. Additionally, no lesions were detected by anal approach enteroscopy; however, gastrointestinal tract bleeding still occurred for an unknown reason. We performed an abdominal vascular enhanced computed tomography examination and detected ileal vascular malformations. Ileum angioma and vascular malformation were detected by a laparoscopic approach, and segmental resection was performed for both lesions, which were confirmed by pathological diagnosis. This report systemically emphasizes the imaging findings of small intestinal vascular malformation bleeding.

journal_name

World J Gastroenterol

authors

Cui J,Huang LY,Lin SJ,Yi LZ,Wu CR,Zhang B

doi

10.3748/wjg.v20.i38.14076

subject

Has Abstract

pub_date

2014-10-14 00:00:00

pages

14076-8

issue

38

eissn

1007-9327

issn

2219-2840

journal_volume

20

pub_type

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