Kim Sun Young, Jeon Tae Joo, Hong Jin Hee, Kim Gwang Sil, Oh Tae Hoon, Seo Dong Dae, Shin Won Chang, Choi Won Choong
Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2008 Sep;52(3):183-7.
Intussusception is primarily a disease of children, and is relatively rare in adults. Unlike childhood intussusception, adult intussusception has an identifiable leading lesion such as malignant or benign neoplasm. However, intussusception caused by hemangioma is very rare. There were few cases of small bowel intussusception caused by hemangioma in adults, but those reports were presented with abdominal pain. This report describes a 65-year-old female who suffered from small bowel intussusception caused by hemangioma presenting with intestinal bleeding. Upper gastrointestinal endoscopy and colonoscopy were performed, but bleeding focus was not found. Abdominal computed tomography showed the target sign of small bowel with a leading point of mass. This mass turned out to be a hemangioma after the small bowel resection. Therefore, small bowel intussusception by hemangioma should be also considered as a bleeding focus when an adult patient presented intestinal bleeding without bleeding focus in the stomach and colon. Herein we report a case of small bowel intussusception caused by hemangioma presenting with intestinal bleeding.
肠套叠主要是一种儿童疾病,在成人中相对少见。与儿童肠套叠不同,成人肠套叠有可识别的主要病变,如恶性或良性肿瘤。然而,由血管瘤引起的肠套叠非常罕见。成人中由血管瘤引起的小肠肠套叠病例很少,且那些报告均伴有腹痛。本报告描述了一名65岁女性,她因血管瘤导致小肠肠套叠并伴有肠道出血。进行了上消化道内镜检查和结肠镜检查,但未发现出血点。腹部计算机断层扫描显示小肠有靶征,伴有肿块样的起始点。小肠切除术后,该肿块被证实为血管瘤。因此,当成年患者出现肠道出血且胃和结肠未发现出血点时,由血管瘤引起的小肠肠套叠也应被视为出血点。在此,我们报告一例由血管瘤引起的小肠肠套叠并伴有肠道出血的病例。