Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
複数回内視鏡検査を施行し,診断に難渋した小腸動静脈奇形の1例
坂部 勇太北川 博之土居 楠太郎寺田 昌弘河西 顕太郎菊地 秀彦里道 哲彦山﨑 好喜西山 竜松原 修
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2020 年 96 巻 1 号 p. 139-141

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Intestinal arteriovenous malformations (AVMs) are an important cause of gastrointestinal bleeding. However, diagnosis is difficult depending on the timing of the examination. [Case] An 86-year-old man complained of bloody stool. Small intestinal capsule endoscopy (CE) revealed a submucosal tumor (SMT) -like elevation in the jejunum. Single-balloon enteroscopy (SBE) did not identify any lesions. Transfusion improved anemia, but gastrointestinal bleeding was observed again. Ninty-four days after the initial CE, small intestinal CE was performed again and revealed an SMT-like bulge with active bleeding in the jejunum. SBE revealed an SMT-like bump with redness in the jejunum, which was considered to be the source of hemorrhage. Small intestinal AVM was diagnosed. Partial resection of the small intestine was performed at a later date.

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© 2020 一般社団法人 日本消化器内視鏡学会 関東支部
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