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使用小肠无线胶囊内镜对以黑便为表现的海绵状血管瘤进行术前诊断。

Preoperative diagnosis of cavernous hemangioma presenting with melena using wireless capsule endoscopy of the small intestine.

作者信息

Akazawa Yu, Hiramatsu Katsushi, Nosaka Takuto, Saito Yasushi, Ozaki Yoshihiko, Takahashi Kazuto, Naito Tatsushi, Ofuji Kazuya, Matsuda Hidetaka, Ohtani Masahiro, Nemoto Tomoyuki, Suto Hiroyuki, Yamaguchi Akio, Imamura Yoshiaki, Nakamoto Yasunari

机构信息

Second Department of Internal Medicine.

First Department of Surgery, Faculty of Medical Sciences, Fukui University.

出版信息

Endosc Int Open. 2016 Mar;4(3):E249-51. doi: 10.1055/s-0041-111321. Epub 2016 Feb 4.

DOI:10.1055/s-0041-111321
PMID:27004239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4798841/
Abstract

Primary neoplasms of the small intestine are relatively rare in all age groups, accounting for about 5 % of all gastrointestinal tumors 1. Cavernous hemangiomas of the small intestine are also rare, can cause gastrointestinal bleeding, and are extremely difficult to diagnose preoperatively 2. We present a patient who presented with melena and iron deficiency anemia, for whom wireless capsule endoscopy and single-balloon enteroscopy facilitated the diagnosis of cavernous hemangioma.

摘要

小肠原发性肿瘤在所有年龄组中都相对罕见，约占所有胃肠道肿瘤的5% 。小肠海绵状血管瘤也很罕见，可导致胃肠道出血，术前极难诊断。我们报告一例表现为黑便和缺铁性贫血的患者，无线胶囊内镜检查和单气囊小肠镜检查有助于诊断海绵状血管瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06ea/4798841/50816418c851/10-1055-s-0041-111321-i428ei3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06ea/4798841/9829f94396f9/10-1055-s-0041-111321-i428ei1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06ea/4798841/1bb39218442a/10-1055-s-0041-111321-i428ei2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06ea/4798841/50816418c851/10-1055-s-0041-111321-i428ei3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06ea/4798841/9829f94396f9/10-1055-s-0041-111321-i428ei1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06ea/4798841/1bb39218442a/10-1055-s-0041-111321-i428ei2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06ea/4798841/50816418c851/10-1055-s-0041-111321-i428ei3.jpg

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2
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Colorectal Dis. 2013 Jan;15(1):109-14. doi: 10.1111/j.1463-1318.2012.03118.x.
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Role of double-balloon endoscopy in the diagnosis of small-bowel tumors: the first Japanese multicenter study.双气囊小肠镜在小肠肿瘤诊断中的作用：日本首例多中心研究
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4
[Small intestinal cavernous hemangioma causing chronic hemorrhage: a case report].[小肠海绵状血管瘤致慢性出血：病例报告]
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Surg Case Rep. 2017 Dec;3(1):5. doi: 10.1186/s40792-016-0276-9. Epub 2017 Jan 4.
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Solitary hemangioma of the small bowel disclosed by wireless capsule endoscopy.无线胶囊内镜检查发现的小肠孤立性血管瘤
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