Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A Case of Angiodysplasia of the Jejunum, Diagnosed by Intraoperative Endoscopy
Hiroshi NAKAYAMA, Daisuke MIMURA, Wataru ISHIKAWA, Mitsuo TATIBANA, Yoshinori MUNETOMO, Yasuhiko ISHIDA
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2016 Volume 77 Issue 9 Pages 2219-2223

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Abstract
Angiodysplasia of the intestine causing massive gastrointestinal bleeding is rare. A 54-year-old man presented to us with the complaint of tarry stools. An upper gastrointestinal endoscopy revealed no abnormalities. However, 2 days later, the patient developed massive gastrointestinal bleeding with hemorrhagic shock. Abdominal CT showed intraluminal extravasation in the upper small gut. On laparotomy, a 10-mm-long submucocal tumor (SMT) could be palpated in the jejunum and intraoperative gastroendoscopy also confirmed the SMT tumor. Resection of a 10-cm segment of the jejunum including the jejunal SMT was performed. Histopathological examination confirmed angiodysplasia of the jejunum. We report a rare case of jejunal angiodysplasia with a review of the literature.
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© 2016 Japan Surgical Association
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