Department of General Surgery, Changhua Christian Hospital, Taiwan.
Am J Surg. 2010 Aug;200(2):e30-2. doi: 10.1016/j.amjsurg.2009.11.015. Epub 2010 Apr 10.
Vascular lesions in the small bowel with bleeding complications are usually difficult to diagnose and localize preoperatively. With the increased use of either capsule endoscopy or enteroscopy, there have been more reports of preoperative diagnosis from such lesions. The authors report a rare case of obscure gastrointestinal bleeding from a combined hemangioma and angiodysplasia identified by double-balloon enteroscopy. To the authors' knowledge, this is the first report of such combined lesions.
小肠的血管病变伴出血并发症通常难以在术前诊断和定位。随着胶囊内镜或推进式内镜的广泛应用,更多的病例报告了这些病变的术前诊断。作者报告了一例罕见的由双气囊小肠镜诊断的混合血管瘤和血管畸形导致的不明原因胃肠道出血病例。据作者所知,这是首例此类混合病变的报告。