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成人空肠海绵状血管瘤致罕见小肠梗阻

Ileal cavernous haemangioma in an adult presenting as a rare cause of small bowel obstruction.

机构信息

Department of Surgical Gastroenterology, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India.

Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India

出版信息

BMJ Case Rep. 2021 Mar 9;14(3):e239115. doi: 10.1136/bcr-2020-239115.

Abstract

Haemangiomas of the small bowel are a very rare entity and rarely considered as an aetiology for an intestinal obstruction. Contrast-enhanced CT is the investigation of choice but the lesion can be confused with malignancy or rarely a neuroendocrine tumour. Commonly it presents as abdominal pain with anaemia and/or melaena. With patients presenting without obstruction or acute gastrointestinal bleed, capsule endoscopy has shown to be a useful diagnostic tool.We present here our experience of managing a case of a patient with ileal haemangioma who presented with a subacute small bowel obstruction and underwent a laparoscopic-assisted ileal segmental resection with side-to-side anastomosis. The lesion was a cavernous haemangioma on histopathological analysis.

摘要

小肠血管瘤是一种非常罕见的疾病,很少被认为是肠梗阻的病因。增强 CT 是首选的检查方法,但该病变可能与恶性肿瘤混淆,或很少与神经内分泌肿瘤混淆。通常表现为腹痛、贫血和/或黑便。对于没有肠梗阻或急性胃肠道出血的患者,胶囊内镜已被证明是一种有用的诊断工具。我们在此介绍我们治疗一名患有回肠血管瘤患者的经验,该患者表现为亚急性小肠梗阻,并接受了腹腔镜辅助回肠节段切除和侧侧吻合术。组织病理学分析显示病变为海绵状血管瘤。

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