Espinoza-Ríos Jorge, Ferrufino-Schmidt Maria C, Bravo Paredes Eduar, Cok Garcia Jaime, Pinto Valdivia José, Tagle Arróspide Martin, Bussalleu Rivera Alejandro
Hospital Nacional Cayetano Heredia. Lima, Perú.
Hospital Nacional Cayetano Heredia. Lima, Perú; Universidad Peruana Cayetano Heredia. Lima, Perú.
Rev Gastroenterol Peru. 2017 Jul-Sep;37(3):258-261.
Gastric hemangioma as a cause of upper gastrointestinal bleeding (UGIB) is a rare event. We present the case of an 83 years old male with a history of abdominal pain, vomiting and melena, along with an 8 Kg weight loss. The upper gastrointestinal endoscopy showed an elevated, ulcerated lesion in the gastric antrum with a visible vessel, for which he receives endoscopic therapy. In the abdominal computed tomography, a contrast enhancing, well-circumscribed mass attached to the gastric wall is observed. Due to the persistence of the UGIB, the patient suffers hemodynamic decompensation and undergoes exploratory laparotomy, where a vascularized mass is found. The pathology report informs a gastric cavernous hemangioma.
胃血管瘤作为上消化道出血（UGIB）的病因是一种罕见事件。我们报告一例83岁男性病例，其有腹痛、呕吐和黑便病史，体重减轻8千克。上消化道内镜检查显示胃窦部有一个隆起、溃疡的病变，可见血管，为此他接受了内镜治疗。腹部计算机断层扫描显示一个附着于胃壁的、有造影剂增强且边界清晰的肿块。由于上消化道出血持续存在，患者出现血流动力学失代偿并接受了剖腹探查术，术中发现一个血管化肿块。病理报告显示为胃海绵状血管瘤。
