General Surgery Department, Villa Scassi, 16149 Genova, Italy.
Pathology Department, Villa Scassi, 16149 Genova, Italy.
Medicina (Kaunas). 2024 Oct 10;60(10):1664. doi: 10.3390/medicina60101664.
A 79 year old female individual presented to the hospital and complained of 1 month melena and anemia due to chronic gastrointestinal bleeding because of cavernous hemangiomatosis of the small bowel. After undergoing an initial video laparoscopic jejunal-ileal resection surgery 7 days after first hospitalization, given the persistence of anemia, she underwent laparotomic duodenojejunal resection surgery again 2 months later. Multiple cavernous hemangiomatosis is a rare vascular disease (7-10% of all benign small bowel tumors), and it often manifests with bleeding, which may be occult or massive; more rarely, it manifests with intestinal occlusion or perforation. Diagnoses often require the use of multiple radiological and endoscopic methods; video capsule endoscopy has significantly increased the diagnostic rate. The gold standard of treatment is surgical resection, whenever possible, balancing the need for radicality with the possible metabolic consequences of massive small intestine resections.
一位 79 岁女性因慢性胃肠道出血而出现 1 个月黑便和贫血，原因是空肠海绵状血管瘤。首次住院后 7 天，她接受了初步的视频腹腔镜空肠-回肠切除术，由于贫血持续存在，2 个月后再次接受了剖腹式十二指肠空肠切除术。多发性海绵状血管瘤是一种罕见的血管疾病（占所有良性小肠肿瘤的 7-10%），常表现为出血，可能是隐匿性或大量出血；更罕见的是，它表现为肠梗阻或穿孔。诊断通常需要使用多种影像学和内镜方法；视频胶囊内镜显著提高了诊断率。治疗的金标准是手术切除，只要有可能，在根治性与大量小肠切除的可能代谢后果之间取得平衡。
