Zhang Geng-Yuan, Luo Chang-Jiang, Zhao Bin, Zhan Hao, Long Bo, Guo Ling-Yun, Zhou Hui-Nian, Jiao Zuo-Yi
Department of General Surgery, Lanzhou University Second Hospital, Lanzhou 730030, China.E-mail:
Nan Fang Yi Ke Da Xue Xue Bao. 2017 Jul 20;37(7):866-868. doi: 10.3969/j.issn.1673-4254.2017.07.02.
Small intestinal hemangioma is a rare condition that can be divided histologically into capillary, cavernous or mixed types, among which the cavernous type is the most common. Here we report a case of small intestinal cavernous hemangioma with chronic hemorrhage in 44-year-old man. The patient complained of weakness and dizziness for 2 years that aggravated 1 month before admission accompanied by intermittent melena. Laboratory tests suggest severe anemia, and computed tomography, gastroscopy and colonoscopy all revealed signs of anemia. Capsule endoscopy detected small intestinal erosions, bleeding lesions and prominent neoplasms. An exploratory laparotomy was performed, in which the segment of the jejunum with lesions was resected. Pathological examination of the resected jejunum identified the neoplasm as cavernous hemangioma of the small intestine, which was the cause of severe anemia.
小肠血管瘤是一种罕见疾病,组织学上可分为毛细血管型、海绵状型或混合型,其中海绵状型最为常见。本文报告一例44岁男性小肠海绵状血管瘤伴慢性出血的病例。患者主诉乏力、头晕2年,入院前1个月加重,伴有间歇性黑便。实验室检查提示重度贫血,计算机断层扫描、胃镜及结肠镜检查均显示贫血征象。胶囊内镜检查发现小肠糜烂、出血性病变及突出的肿物。遂行剖腹探查术,切除病变的空肠段。对切除的空肠进行病理检查,确诊该肿瘤为小肠海绵状血管瘤,此为重度贫血的病因。