[一例导致胃肠道出血的十二指肠上皮样血管瘤]

[A case of duodenal epithelioid hemangioma causing gastrointestinal bleeding].

作者信息

Watanabe Noriko, Nenohi Katsunori, Takeuchi Keisuke, Hasegawa Hiroshi, Tanaka Tsuyoshi, Shimomura Makoto, Tanigawa Kanji, Yokoi Hajime, Nakabayashi Hiroshi, Oda Yoshinao

机构信息

Department of Gastroenterology, Mie Chuo Medical Center, Japan.

出版信息

Nihon Shokakibyo Gakkai Zasshi. 2012 Dec;109(12):2058-65.

PMID:23221054

Abstract

A case of epithelioid hemangioma of the duodenum causing bleeding was encountered. A 32-year-old man was admitted because of anemia. Endoscopic examination revealed a submucosal tumor with central depression in the 2nd portion of the duodenum. It was considered to be the bleeding focus of anemia. A partial resection of the duodenum was performed. The macro- and microscopic examination of the specimen revealed an epithelioid hemangioma. Hemangiomas of the intestinal tract are rare, representing only 0.3% of all tumors of the intestinal tract, and among them, hemangiomas of the duodenum are extremely rare, representing only 3.4% of those of the intestinal tract. Most hemangiomas of the duodenum are cavernous hemangiomas or capillary hemangiomas. We report the first case of epithelioid hemangioma of the duodenum.

摘要

遇到一例十二指肠上皮样血管瘤导致出血的病例。一名32岁男性因贫血入院。内镜检查发现十二指肠第二部有一个中央凹陷的黏膜下肿瘤。它被认为是贫血的出血病灶。对十二指肠进行了部分切除。对标本进行大体和显微镜检查显示为上皮样血管瘤。肠道血管瘤很罕见，仅占所有肠道肿瘤的0.3%，其中十二指肠血管瘤极其罕见，仅占肠道血管瘤的3.4%。十二指肠的大多数血管瘤是海绵状血管瘤或毛细血管瘤。我们报告首例十二指肠上皮样血管瘤病例。