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一名3岁儿童的孤立性胃海绵状血管瘤:上消化道出血的罕见病因。

Isolated cavernous haemangioma of the stomach in a 3-year-old child: an unusual cause of upper GI bleeding.

作者信息

Attash Saad Muwafaq, Ali Mohammed Sulaiman, Al-Nuaimy Hatim A

机构信息

Iraqi Ministry of Health, Al-Jumhoori Teaching Hospital, Mosul, Iraq.

出版信息

BMJ Case Rep. 2012 Oct 6;2012:bcr2012006979. doi: 10.1136/bcr-2012-006979.

Abstract

We present a rare case of a 3-year-old child with a history of recurrent attacks of haematemesis, melena and severe anaemia. Upper gastrointestinal endoscopy revealed a vascular mass at the fundus and greater curvature of the stomach, CT revealed an ill-circumscribed mass of mixed attenuation in the left upper abdomen, which was related to the fundus and greater curvature of the stomach, extending to the spleen, greater omentum and transverse colon with a homogeneous enhancement following contrast injection suggesting the diagnosis of haemangioma. Explorative laparotomy was done and partial gastrectomy together with splenectomy and omentectomy was performed. Histological examination confirmed the diagnosis of cavernous haemangioma.

摘要

我们报告一例罕见的3岁儿童病例,该患儿有反复呕血、黑便及严重贫血病史。上消化道内镜检查显示胃底和胃大弯处有一血管性肿物,CT显示左上腹有一界限不清的混合密度肿物,与胃底和胃大弯相连,延伸至脾脏、大网膜和横结肠,注射造影剂后呈均匀强化,提示诊断为血管瘤。遂行剖腹探查术,进行了部分胃切除术、脾切除术和网膜切除术。组织学检查证实为海绵状血管瘤。

相似文献

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Isolated cavernous hemangioma of the stomach in a neonate.新生儿孤立性胃海绵状血管瘤。
J Pediatr Surg. 1998 Apr;33(4):653-4. doi: 10.1016/s0022-3468(98)90338-4.

本文引用的文献

2
Endoscopic resection of a cavernous haemangioma of the stomach.
Dig Liver Dis. 2002 Nov;34(11):808-11. doi: 10.1016/s1590-8658(02)80075-5.
3
Capillary haemangioma of the greater omentum in a 5-month-old female infant: a case report.
Pediatr Radiol. 2000 Dec;30(12):837-9. doi: 10.1007/s002470000352.
6
Venous hemangioma of the mesocolon.结肠系膜静脉血管瘤
AJR Am J Roentgenol. 1997 Aug;169(2):600-1. doi: 10.2214/ajr.169.2.9242791.
7
Gastric hemangioma associated with upper gastrointestinal bleeding.胃血管瘤伴上消化道出血。
Arch Surg. 1967 Jul;95(1):93-8. doi: 10.1001/archsurg.1967.01330130095019.

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