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小肠脂肪瘤引起的不明原因胃肠道出血。

Obscure gastrointestinal bleeding caused by small bowel lipoma.

作者信息

Chou Jen-Wei, Feng Chun-Lung, Lai Hsueh-Chou, Tsai Chin-Chi, Chen Sheng-Hung, Hsu Chang-Hu, Cheng Ken-Sheng, Peng Cheng-Yuan, Chung Ping-Kuei

机构信息

Division of Gastroenterology and Hepatology, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan.

出版信息

Intern Med. 2008;47(18):1601-3. doi: 10.2169/internalmedicine.47.0963. Epub 2008 Sep 16.

Abstract

Obscure gastrointestinal bleeding is a very rare entity which accounts for less than 5% of all gastrointestinal bleeding cases. Small bowel tumors are rare but a serious source of obscure gastrointestinal bleeding. Lipomas are the second most common benign tumors in the small bowel and can produce many complications, including gastrointestinal bleeding. Herein, we describe a case of obscure gastrointestinal bleeding caused by a small bowel tumor which was detected by capsule endoscopy and double-balloon enteroscopy preoperatively. Finally, the tumor was surgically confirmed to be a lipoma.

摘要

不明原因的胃肠道出血是一种非常罕见的病症,占所有胃肠道出血病例的比例不到5%。小肠肿瘤虽罕见,但却是不明原因胃肠道出血的一个严重病因。脂肪瘤是小肠中第二常见的良性肿瘤,可引发多种并发症,包括胃肠道出血。在此,我们描述一例由小肠肿瘤引起的不明原因胃肠道出血病例,该病例术前通过胶囊内镜和双气囊小肠镜检查得以确诊。最终,手术证实该肿瘤为脂肪瘤。

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