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乙状结肠海绵状血管瘤的内镜下切除:一例报告

Endoscopic Resection of a Cavernous Hemangioma in the Sigmoid Colon: A Case Report.

作者信息

Al-Khater Noora, Mohamed Mohamed, Juma Afra, Abubaker Faisal, Ansari Sameer

机构信息

Internal Medicine Department, King Hamad University Hospital, Busaiteen, Kingdom of Bahrain.

Gastroenterology and Hepatology Department, King Hamad University Hospital, Busaiteen, Kingdom of Bahrain.

出版信息

Gastro Hep Adv. 2023 Dec 25;3(3):396-398. doi: 10.1016/j.gastha.2023.12.008. eCollection 2024.

Abstract

Hemangiomas in the gastrointestinal tract are extremely rare, benign vascular tumors, known for their associated complication of bleeding. They are usually difficult to diagnose, despite the characteristic definition of radiolucent phleboliths on radiology and purplish, tannish brown nodule or polyp on endoscopy. Surgical resection is the treatment of choice. We describe a rare case of sigmoid colon cavernous hemangioma in a 49-year-old male who underwent colonoscopy for lower abdominal pain and revealed a large pedunculated polyp in the sigmoid colon measuring 1.7 cm in diameter. The hemangioma was completely resected endoscopically via hot snare with a favorable outcome.

摘要

胃肠道血管瘤极为罕见,是一种良性血管肿瘤,以其相关的出血并发症而闻名。尽管在放射学上有透光静脉石的特征性表现,在内镜检查中有紫色、棕褐色结节或息肉,但它们通常难以诊断。手术切除是首选的治疗方法。我们描述了一例罕见的乙状结肠海绵状血管瘤病例,患者为一名49岁男性,因下腹痛接受结肠镜检查,结果显示乙状结肠有一个直径为1.7厘米的带蒂大息肉。通过热圈套器在内镜下将血管瘤完全切除,效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0606/11308848/910cf647bf95/gr1.jpg

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