A case of a ruptured submucosal aneurysm of the small intestine identified using double-balloon enteroscopy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-03-18

AUTHORS

Hirofumi Chiba, Katsuya Endo, Fumiyoshi Fujishima, Hideo Ohtsuka, Takeshi Naitoh, Masatake Kuroha, Tomoya Kimura, Hisashi Shiga, Yoichi Kakuta, Yoshitaka Kinouchi, Michiaki Unno, Tooru Shimosegawa

ABSTRACT

A 47-year-old woman was admitted to our hospital urgently with sudden-onset hematochezia. She was temporarily in a state of hemorrhagic shock. As we strongly suspected bleeding from the small intestine, peroral double-balloon enteroscopy was performed, and indicated a 2.0-cm diameter hemispheric elevated lesion in the jejunum. Moreover, a blood clot was observed at the top of the protrusion. The site was marked by injecting India ink, without taking a biopsy specimen, to avoid further hemorrhaging. Subsequently, laparoscopic partial small bowel resection was performed. On histopathological examination, the lesion was found to be a sac-like submucosal arterial aneurysm, with a diameter of 3.5 mm, comprising several small abnormal arteries. The final diagnosis was a ruptured submucosal aneurysm of the small intestine. Ruptured submucosal aneurysms are very rarely observed in the small intestine. Only a few reports have described their endoscopic findings. Our experience indicates that small bowel enteroscopy may be useful for managing ruptured submucosal aneurysms of the small intestine. More... »

PAGES

49-54

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12328-016-0639-6

DOI

http://dx.doi.org/10.1007/s12328-016-0639-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1007331419

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26993305


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