阑尾癌导致小肠出血的罕见原因。
An Uncommon Cause of Small Bowel Bleeding from Appendiceal Carcinoma.
作者信息
Boonpipattanapong Teeranut, Attasaranya Siriboon, Kayasut Kanita, Sangkhathat Surasak, Ovartlarnporn Bancha
机构信息
Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
NKC Institute of Gastroenterology and Hepatology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
出版信息
Case Rep Gastroenterol. 2017 Apr 28;11(1):250-255. doi: 10.1159/000468512. eCollection 2017 Jan-Apr.
Massive hematochezia caused by a small bowel lesion is a rare entity. Currently, video capsule endoscopy and balloon-assisted enteroscopy are effective in identifying the source of small intestine bleeding. Herein, we report a case of small bowel bleeding caused by a nonmucinous appendiceal adenocarcinoma with ileal invasion which was detected by video capsule endoscopy and single-balloon endoscopy. Despite the advanced disease stage with hepatic and peritoneal metastases, as of September 2016 the patient has had 8 years' disease-free survival after surgical resection and chemotherapy.
由小肠病变引起的大量便血是一种罕见的情况。目前，视频胶囊内镜和气囊辅助小肠镜在识别小肠出血来源方面很有效。在此，我们报告一例由非黏液性阑尾腺癌侵犯回肠引起的小肠出血病例，该病例通过视频胶囊内镜和单气囊内镜检测到。尽管疾病已处于伴有肝和腹膜转移的晚期阶段，但截至2016年9月，该患者在手术切除和化疗后已无病生存8年。
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