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一例罕见的小肠多发胃肠道间质瘤,表现为隐匿性和显性胃肠道出血。

An unusual case of multiple gastrointestinal stromal tumors in the small bowel presenting as occult and overt gastrointestinal bleeding.

作者信息

Yeaman Fiona, Abasszade Joshua, Varma Poornima, Swan Michael

机构信息

Department of Gastroenterology and Hepatology Monash Health Clayton Victoria Australia.

Department of Gastroenterology and Hepatology Fiona Stanley Hospital Murdoch Western Australia Australia.

出版信息

Clin Case Rep. 2022 Jul 22;10(7):e6082. doi: 10.1002/ccr3.6082. eCollection 2022 Jul.

Abstract

We present a case report of a 59-year-old woman with multiple gastrointestinal stromal tumors as a cause of gastrointestinal bleeding. She initially presented with recurrent iron deficiency anemia and subsequent gastrointestinal bleeding over 10 years. An initial angiodysplastic lesion was identified, treated, and spot tattooed. Recurrent symptoms occurred leading to repeat investigations with a further subepithelial lesion with ulceration being identified. Computerized tomography enterography subsequently revealed an ileal intraluminal enhancing lesion, and she was referred to surgery. Surgical resection was ultimately performed, and multiple lesions were found to be present with histology revealing multiple gastrointestinal stromal tumors.

摘要

我们报告一例59岁女性因多发性胃肠道间质瘤导致胃肠道出血的病例。她最初表现为复发性缺铁性贫血,并在10多年间出现了随后的胃肠道出血。最初发现了一个血管发育异常病变,进行了治疗并标记定位。复发性症状出现,导致进一步检查,发现了一个伴有溃疡的上皮下病变。计算机断层扫描小肠造影随后显示回肠腔内有一个强化病变,她被转诊至外科。最终进行了手术切除,发现存在多个病变,组织学检查显示为多发性胃肠道间质瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5007/9307879/25ff95645add/CCR3-10-e6082-g001.jpg

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