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[回肠间质瘤所致缺铁性贫血]

[Iron deficiency anemia due to stromal tumor of the ileum].

作者信息

Kohan M, D'Antonio C, Fava V, Perez C, Zuckerberg C

机构信息

Grupo de Trabajo de Gastroenterología, Sección de Hematología y Servicios de Clínica, Cirugía y Anatomía Patológica del Hospital General de Agudos Dr. Teodoro Alvarez.

出版信息

Acta Gastroenterol Latinoam. 2001 Mar;31(1):31-5.

Abstract

Iron-deficiency anemia occurs in 3.5 to 5.3% of adult men and postmenopausal women. Occult gastrointestinal bleeding is the cause in the vast majority of cases. After endoscopic examinations have ruled out lesions in colon and upper gastrointestinal tract, 5 to 20% of those patients remain without diagnosis. Angiodysplasias and tumors are the most common causes of occult bleeding arising from the small bowel. Their diagnosis requires complex studies with quite low yield. However, it is necessary to perform them when anemia becomes severe or persistent. We report the case of a male patient with severe and persistent iron-deficiency anemia who had a stromal gastrointestinal tumor located in the ileum.

摘要

缺铁性贫血在3.5%至5.3%的成年男性和绝经后女性中出现。隐匿性胃肠道出血是绝大多数病例的病因。在内镜检查排除结肠和上消化道病变后,这些患者中有5%至20%仍未得到诊断。血管发育异常和肿瘤是小肠隐匿性出血的最常见原因。它们的诊断需要进行复杂的检查,且阳性率相当低。然而,当贫血变得严重或持续时,进行这些检查是必要的。我们报告一例患有严重且持续性缺铁性贫血的男性患者,其回肠有一个胃肠道间质瘤。

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