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多重小肠洞腔血管瘤:病例报告和文献综述

Francesca Ré¹, Salvatore Carrabetta¹, Eugenio Merlo²

¹General Surgery Department, Villa Scassi, 16149 Genova, Italy.

Medicina (Kaunas, Lithuania)

|October 26, 2024

概括

这个案例研究突出了一个罕见的血管疾病,小肠洞腔血栓瘤,导致慢性胃肠道出血和贫血. 手术切除是主要的治疗方法,尽管由于潜在的代谢后果而具有挑战性.

科学领域:

胃肠病学胃肠病学
血管外科血管外科
在瘤学瘤学.

背景情况:

小肠洞穴性血管瘤是一种罕见的血管形,占7-10%的良性小肠瘤.
这种情况往往表现为胃肠道出血,从隐性到大规模,不太常见的是肠道阻塞或穿孔.

研究的目的:

介绍一个79岁的女性病例,患有症状的小肠洞穴性血管瘤.
讨论与这种罕见疾病相关的诊断和治疗挑战.

主要方法:

诊断涉及临床表现 (黑斑,贫血),放射学和内镜方法.
治疗包括两次手术切除:最初的视频腹腔镜内-叶切除,其次是由于持续性贫血导致的第二次腹腔镜内二切除.

主要成果:

患者经历了慢性胃肠道出血和小肠洞穴性血管瘤的次要贫血.
尽管进行了两次手术,但治疗出血和贫血仍面临重大挑战.

结论:

手术切除是治疗小肠洞腔血管瘤的黄金标准,但需要仔细考虑激进性与代谢影响.
视频囊内镜显著改善了小肠血管病变的诊断率.

关键词:

案例报告案例报告洞穴性血管瘤症是什么胃肠道出血胃肠道出血腹腔镜检查是指腹腔镜检查.小肠小肠是小肠中的一个.

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