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[胃肠道间质瘤,下消化道出血的罕见病因。病例报告]

[Intestinal stromal tumors, rare cause of lower gastrointestinal bleeding. Case report].

作者信息

Olariu S, Ruhmann C, Bloancă V, Shekhda J, Străin M, Dema A

机构信息

Clinica I Chirurgie, Spitalul Clinic Judeţean de Urgenţă Timişoara, U.M.F. "V. Babeş", Timişoara, Romania.

出版信息

Chirurgia (Bucur). 2010 Sep-Oct;105(5):721-6.

Abstract

Gastrointestinal stromal tumors represent a heterogeneous group of mesenchymal tumors that can develop throughout the gastrointestinal tract. We present the clinical case of a patient with such malignancies occurred in the proximal jejunum and clinically manifested by a severe digestive hemorrhage with hemorrhagic shock and severe posthemorrhagic anemia. Pre-operative diagnosis was possible only through the Entero-MRI. The evolution was favorable after surgical extirpation. It's being discussed particular aspects of this lesion's entity and post-operative optimal attitude in this case.

摘要

胃肠道间质瘤是一组异质性的间充质肿瘤,可发生于整个胃肠道。我们报告了一例发生在空肠近端的此类恶性肿瘤患者的临床病例,临床表现为严重的消化道出血伴失血性休克和严重的出血后贫血。术前诊断仅通过小肠磁共振成像得以实现。手术切除后病情进展良好。本文讨论了该病变实体的特殊方面以及该病例术后的最佳处理方式。

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