Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
消化管出血を伴う小腸GISTにより緊急手術を要した1例
佐野 透矢野 貴史和田 尚久上原 一帆中目 哲平吉澤 奈津子迎 美幸石黒 康浩村田 東荒木 正雄佐々木 一憲河野 悟風間 暁男
著者情報
キーワード: 小腸GIST, 緊急手術
ジャーナル フリー

2015 年 87 巻 1 号 p. 166-167

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We describe a 34-year-old woman who presented with bloody stool.
Digitalrectal examination revealed fresh bleeding. Colonoscopy showed blood clots and inflow of fresh blood in the proximal portion of the terminal ileum. Contrast-enhanced magnetic resonance imaging showed a low-signal-intensity mass in the pelvis, indicating heterogeneous contrast enhancement . The patient received transfusions, but the vital signs were unstable. Emergency surgery was therefore performed. A Gastrointestinal Stromal Tumor was diagnosed on pathological examination. In Japan, only 10 patients who underwent emergency surgery for small-intestinal bleeding caused by a GIST of the small intestine have been reported previously. We herein describe our experience with this rare case.
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© 2015 一般社団法人 日本消化器内視鏡学会 関東支部
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