A case of small bowel aneurysm hemorrhage with submucosal tumor‐like findings

Autor: Susumu Banjoya, Yohei Minato, Yoshiaki Kimoto, Yuki Kano, Takashi Sakuno, Kohei Ono, Marie Osawa, Hajime Horiuchi, Teppei Morikawa, Ken Ohata
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: DEN Open, Vol 4, Iss 1, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2692-4609
54663474
DOI: 10.1002/deo2.335
Popis: Abstract A 51‐year‐old woman visited our hospital with the chief complaint of tarry stools. Contrast‐enhanced abdominal computed tomography revealed leakage of contrast medium into the lumen of the small intestine. Subsequently, a double‐balloon endoscopy was performed, which revealed a submucosal mass‐like lesion in the jejunum. Although hemostasis was attempted with clips, complete hemostasis was difficult to achieve, and angiographic embolization was performed. Nevertheless, the anemia progressed, and a small bowel resection was performed. Histopathological examination led to a diagnosis of a ruptured submucosal aneurysm of the small intestine. Endoscopic hemostasis is often difficult to achieve for submucosal aneurysms in the intestine. The submucosal tumor‐like finding observed on endoscopy in submucosal aneurysms is termed an “SMT‐like sign” and is considered an important finding to diagnose aneurysms.
Databáze: Directory of Open Access Journals
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