Kunkel D, Duval J L, Bouchiat C, Talard P, Dubayle P, Carloz E, Flandrin P
Service de Gastroentérologie, HIA Sainte-Anne, Toulon Naval.
Gastroenterol Clin Biol. 1993;17(2):139-41.
We report a case of aortic endothelioma revealed by intestinal metastasis in a man who was admitted for severe anemia, left heart failure, and fatal ileo-mesenteric infarction. This is the 13th published case of aortic endothelioma, and the first case revealed by intestinal metastasis. It illustrates the value of the magnetic resonance imaging for the detection of an aortic tumor when intestinal angiosarcoma has been diagnosed. The surgical treatment could improve an otherwise very poor prognosis.
我们报告一例主动脉内皮瘤，该病例以肠道转移为首发表现，患者因严重贫血、左心衰竭及致命性回肠 - 肠系膜梗死入院。这是已发表的第13例主动脉内皮瘤病例，也是首例以肠道转移为首发表现的病例。它说明了当诊断为肠道血管肉瘤时，磁共振成像在检测主动脉肿瘤方面的价值。手术治疗可改善原本非常差的预后。
