Department of Surgery, Polokwane Hospital, Private Bag x 9316, Pietersburg 0699, South Africa.
Singapore Med J. 2011 Feb;52(2):e23-6.
We report a case of multiple minute angioectasia of the jejunum presenting with fatal gastrointestinal bleeding. Repeated endoscopies, mesenteric angiography and scintigraphy failed to locate the bleeding site. Multiple minute angioectasia was suspected on intraoperative enteroscopy; however, surgical resection failed to permanently control gastrointestinal haemorrhage. The final histology report confirmed the presence of multiple minute angioectasia of the jejunum. In this case study, we review current diagnostic and therapeutic modalities, and discuss the association between gastrointestinal angioectasia and malignant lymphoma.
我们报告一例多发性小肠微血管瘤，表现为致命性胃肠道出血。反复进行内镜检查、肠系膜血管造影和闪烁扫描均未能确定出血部位。术中经小肠镜检查怀疑多发性微血管瘤，但手术切除未能永久控制胃肠道出血。最终的组织学报告证实了多发性小肠微血管瘤的存在。在本病例研究中，我们回顾了目前的诊断和治疗方式，并讨论了胃肠道血管瘤与恶性淋巴瘤之间的关系。
