Schettini Sergio Tomaz, Ribeiro Rodrigo Chaves, Brito Pedro Luis, Abib Simone de Campos Vieira, Onofre Luciano Silveria, Kawasaki Leonardo Hideki, Seda Neto João
Division of Pediatric Surgery and Pediatric Oncology Institute, Federal University of São Paulo, São Paulo, Brazil.
J Pediatr Surg. 2007 Apr;42(4):717-8. doi: 10.1016/j.jpedsurg.2006.12.044.
We report a rare cause of gastrointestinal bleeding in a 5-year-old boy with hematemesis and melena for a month. Upper gastrointestinal endoscopy and an abdominal magnetic resonance image suggested a large hemangioma on the gastric fundus. The patient underwent an exploratory laparotomy with partial gastrectomy limited to the gastric fundus. An intraoperative endoscopy helped to ensure a complete resection of the tumor. Histopathology showed a cavernous hemangioma of the gastric fundus.
我们报告了一名5岁男孩胃肠道出血的罕见病因,该男孩有一个月的呕血和黑便症状。上消化道内镜检查和腹部磁共振成像显示胃底有一个大的血管瘤。患者接受了剖腹探查术,并进行了仅限于胃底的部分胃切除术。术中内镜检查有助于确保肿瘤的完全切除。组织病理学显示为胃底海绵状血管瘤。