Small bowel capsule endoscopy revealing neuromuscular and vascular hamartoma of the jejunum
| Autor: | Caruso, Maria L., Cavalcanti, Elisabetta, De Michele, Francesco, Ignazzi, Antonia, Carullo, Roberta, Mastronardi, Mauro |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Dissection Hamartoma capsule endoscopy Middle Aged Diagnosis Differential Jejunum Treatment Outcome Recurrence Intestinal Neoplasms Humans Clinical Case Report digestive hemorrhage Gastrointestinal Hemorrhage neuromuscular and vascular hamartoma (NMVH) Digestive System Surgical Procedures Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Rationale: Digestive hemorrhage is a life-threatening and represents for both clinicians and patient a challenger problematic condition with the urgencies to discover the origin for correct the cause and safe the life of patient. Patient concerns: We report the case of a 58 -year-old man with extremely rare hamartomatous neurovascular lesion. Following recurrent episode of intestinal hemorrhage the patient underwent small bowel capsule endoscopy. Diagnoses: Diagnosed with small intestine neoplasia. Interventions: The patient underwent curative small bowel resection. Histologic diagnosis was neuromuscular and vascular hamartoma (NMVH). In the small intestine, neoplastic lesions are very rare (2%) and mostly malformative while the more frequent cause of cryptic digestive hemorrhage remains angiodysplasia (50%) . The preexisting NMVH was exacerbated by the use of non-steroidal anti-inflammatory drugs, causing hemorrhage due to diffuse ulceration. Outcomes: The patient stay healthy after treatment. Lessons: This is an hemorrhagic lesion with macroscopic “neoplastic” patterns due to abnormal mixing of normal indigenous tissue components. It poses a diagnostic challenge for clinicians and pathologists, but diagnosis is facilitated by capsule endoscopy and surgical treatment should provide definitive resolution. |
| Databáze: | OpenAIRE |
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