貧血を契機にダブルバルーン小腸内視鏡で発見された小腸Adenomyomatous Hamartomaの1例

堀井 里和; 山下 竜也; 加賀谷 尚史; 鷹取 元; 砂子坂 肇; 大石 尚毅; 荒井 邦明; 柿木 嘉平太; 北村 星子; 金子 周一

doi:10.11280/gee.52.3111

ADENOMYOMATOUS HAMARTOMA OF THE SMALL BOWEL WITH ANEMIA IDENTIFIED BY DOUBLE-BALLOON ENDOSCOPY

Rika HORII, Tatsuya YAMASHITA, Takashi KAGAYA, Hajime TAKATORI, Hajime SUNAGOZAKA, Naoki OOISHI, Kuniaki ARAI, Kaheita KAKINOKI, Seiko KITAMURA, Shuichi KANEKO

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JOURNAL FREE ACCESS

2010 Volume 52 Issue 11 Pages 3111-3116

DOI https://doi.org/10.11280/gee.52.3111

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Abstract

We report a 82-year-old female with liver chirrhosis who presented melena and anemia. Initial upper GI endoscopy, colonoscopy and computed tomography failed to find the bleeder. Double balloon endoscopy revealed sub mucosal nodule about 60mm in diameter located at proximal jejunum. Surgical resection was carried out.
Pathologic examination indicated that the tumor was adenomyomatous hamartoma.
The patient was symptom-free after the operation.

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