Guevara-Peralta Katia Gesell, Zegarra-Neira Nilton Fidel, Bayro-Peñaloza Rosa Fabiola
Médico Residente de Gastroenterología del Hospital Alberto Sabogal Sologuren.
Médico Asistente del Servicio de Gastroenterología del HNASS.
Rev Gastroenterol Peru. 2023 Apr-Jun;43(2):134-138.
We present the case of a 32-year-old male patient with a history of Neurofibromatosis type 1, who presented with active small bowel bleeding, initially diagnosed by observing bleeding in ileoscopy, presenting with hemodynamic instability, abdominal angiotomography was performed, identifying a mass with contrast enhancement and active bleeding at the middle jejunum level, for which an angiography with arterial embolization of the branch that supplies said area is performed. With the patient stable, a double-balloon antegrade enteroscopy was performed, observing a subepithelial, ulcerated lesion, endoscopic tattooing was performed and finally surgery was sent for resection by laparoscopy. The pathology study was compatible with a jejunal gastrointestinal stromal tumor (GIST).
我们报告一例32岁男性患者，有1型神经纤维瘤病病史，出现活动性小肠出血，最初通过回肠镜检查观察到出血而确诊，患者伴有血流动力学不稳定，遂行腹部血管造影，发现在空肠中段有一强化肿块及活动性出血，为此对供应该区域的分支进行了动脉栓塞血管造影。患者病情稳定后，进行了双气囊推进式小肠镜检查，观察到一个上皮下溃疡性病变，进行了内镜纹身，最后送患者接受腹腔镜切除术。病理研究结果与空肠胃肠道间质瘤（GIST）相符。
