Rinnovati A, Cassi R, Nocentini L, Frullini A, Tinacci G, Fabbrucci P
Ospedale Serristori, USL 20/B Figline Valdarno, Firenze.
Minerva Chir. 1992 Jun 30;47(12):1107-9.
The paper reports the case of a 53-year-old man admitted to hospital with melena. The initial diagnosis was bleeding duodenal ulcer; after 8 weeks of therapy the duodenal ulcer was completely healed, but renewed intestinal bleeding occurred three months later. Angiography of the upper mesenteric artery revealed a clear tumour form. A tumour of the small intestine the size of a fist was found during surgery. An ileal resection was performed. Histopathological tests confirmed the diagnosis of leiomyoma of the small intestine.
该论文报道了一名53岁男性因黑便入院的病例。初步诊断为十二指肠溃疡出血；经过8周治疗，十二指肠溃疡完全愈合，但3个月后再次出现肠道出血。肠系膜上动脉造影显示有明显的肿瘤形态。手术中发现一个拳头大小的小肠肿瘤。进行了回肠切除术。组织病理学检查确诊为小肠平滑肌瘤。
