Fujikawa T, Kurata M, Takaori K, Matsusue S, Takeda H, Sakai S
Department of Abdominal Surgery, Tenri Hospital, Nara, Japan.
Surg Today. 1996;26(10):807-9. doi: 10.1007/BF00311641.
Vascular lesions of the duodenum, including hemangioma, are rare causes of gastrointestinal bleeding. We herein describe a 52-year-old woman with a solitary cavernous hemangioma of the duodenum that caused chronic gastrointestinal bleeding. Repeated upper gastrointestinal endoscopy and a barium meal study revealed a solitary vascular tumor in the fourth portion of the duodenum, although the initial investigations including selective angiography were unsuccessful. A wedge resection of the duodenum was performed and microscopical examination showed a cavernous hemangioma. Vascular lesions should therefore also be considered in the differential diagnosis of patients with gastrointestinal bleeding of unknown origin.
十二指肠血管病变，包括血管瘤，是胃肠道出血的罕见原因。我们在此描述一名52岁女性，患有十二指肠孤立性海绵状血管瘤，导致慢性胃肠道出血。反复的上消化道内镜检查和钡餐检查显示十二指肠第四部分有一个孤立的血管肿瘤，尽管包括选择性血管造影在内的初步检查未成功。对十二指肠进行了楔形切除术，显微镜检查显示为海绵状血管瘤。因此，对于不明原因胃肠道出血的患者，鉴别诊断时也应考虑血管病变。
