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十二指肠血管脂肪瘤:一种罕见的肿瘤,可导致反复上消化道出血。

Duodenal angiolipoma: a rare tumor causing recurrent upper gastrointestinal bleeding.

机构信息

Gastroenterology, Hospital Garcia de Orta, Portugal.

Gastrenterology, Hospital Garcia de Orta, Portugal.

出版信息

Rev Esp Enferm Dig. 2023 Nov;115(11):674-675. doi: 10.17235/reed.2023.9744/2023.

Abstract

Duodenal angiolipoma is a rare adipocytic tumor, with non-specific symptoms precluding an early diagnosis. We present a case of a 67-year-old female admitted due to upper gastrointestinal bleeding. The upper endoscopy and endoscopic ultrasound evaluation showed a subepithelial lesion in the third portion of the duodenum. Endoscopic excision was performed using a standard polypectomy technique after endoloop placement. Histopathology was compatible with duodenal angiolipoma. The authors highlight duodenal angiolipoma as a rare adipocytic tumor potentially causing gastrointestinal bleeding, which can be safely treated with endoscopic excision.

摘要

十二指肠血管脂肪瘤是一种罕见的脂肪细胞肿瘤,其非特异性症状导致早期诊断困难。我们报告了一例 67 岁女性,因上消化道出血入院。上消化道内镜和内镜超声检查显示十二指肠第三段黏膜下病变。在内镜套扎后,采用标准的息肉切除术进行内镜切除。组织病理学符合十二指肠血管脂肪瘤。作者强调,十二指肠血管脂肪瘤是一种罕见的脂肪细胞肿瘤,可能导致胃肠道出血,可通过内镜切除安全治疗。

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