CAVERNOUS HEMANGIOMA OF THE JEJUNUM, AS A SOURCE OF RECURRENT INTESTINAL BLEEDING IN A 11-YEAR-OLD CHILD



如何引用文章

全文:

详细

Gastrointestinal hemangioma (GIH) is a benign vascular formation located in different parts of the intestinal tube. The clinical significance of hemangiomas of the gastrointestinal tract is usually associated with the development of complications such as gastrointestinal bleeding, invagination, intestinal obstruction or bowel perforation. Aim of the study. Demonstration of a rare clinical observation of jejunal cavernous hemangioma as a cause of recurrent intestinal bleeding. Material and methods. A boy, 11 years old, admitted to the Institute with complaints of chronic anemia and recurrent intestinal bleeding of unknown etiology. There was made a complex diagnostic search, including laboratory and instrumental methods, with a video capsular study of the gastrointestinal tract and angiography of the abdominal cavity. Results. At the base of the video capsular study of the gastrointestinal tract, the vascular formation of the jejunum, which is a possible source of intestinal bleeding, is suspected. The vascular structure of the formation is confirmed by angiography. During laparoscopy, a cavernous hemangioma with a diameter of about 1.5 cm was detected. Hemangioma was located in the wall of the jejunum and prolapsed both into the lumen of the intestine and from the side of the serous membrane. Under micro laparotomic access in the umbilical region, there was performed a resection of the jejunum area with the imposition of the anastomosis "end to end". A morphological diagnosis was confirmed. The postoperative period was uneventful. Conclusion. The cavernous hemangioma of the jejunum is rare and difficult to diagnose the cause of recurrent intestinal bleeding. The use of modern diagnostic and surgical technologies ensures timely and mini-invasive treatment, which leads to rapid recovery of the patient and ensures the cost-effectiveness of treatment.

作者简介

O. Karaseva

Research Institute of Emergency Pediatric Surgery and Traumatology

编辑信件的主要联系方式.
Email: noemail@neicon.ru
俄罗斯联邦

A. Gorelik

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: Dr.A.Gorelik@gmail.com
俄罗斯联邦

A. Kharitonova

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

A. Timofeeva

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

D. Golikov

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

K. Utkina

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

A. Kislyakov

Research Institute of Emergency Pediatric Surgery and Traumatology; Morozov Children Municipal Clinical Hospital

Email: noemail@neicon.ru
俄罗斯联邦

I. Filinov

Research Institute of Emergency Pediatric Surgery and Traumatology; National Medical Research Center for Children’s Health

Email: noemail@neicon.ru
俄罗斯联邦

L. Roshal

Research Institute of Emergency Pediatric Surgery and Traumatology; National Medical Research Center for Children’s Health

Email: noemail@neicon.ru
俄罗斯联邦

参考

  1. Boyle L, Lack EE. Solitary cavernous hemangioma of small intestine. Case report and literature review. Arch Pathol Lab Med 1993;117:939-41.
  2. Shi CS, Li G, Wang YL. Clinical characteristics and diagnosis of small intestine hemangioma in children. Zhonghua Er Ke Za Zhi. 2011, 49(6), 474-6.
  3. Magnano A, Privitera A, Calogero G, Nanfito L, Basile G, Sanfilippo G. Solitary hemangioma of the small intestine: an unusual cause of bleeding diagnosed at capsule endoscopy. J. Pediatr Surg. 2005;40: 25-7.
  4. Huber A, Abdel Samie A, Kychenko D, Theilmann L. A rare cause of recurrent iron-deficiency anemia: cavernous hemangioma of the small intestine. J. Gastrointestin Liver Dis. 2012;21:343
  5. Soo Jin Bae, Geol Hwang, Hyun Sik Kang,1Hyun Joo Song, Weon Young Chang, Young Hee Maeng, and Ki-Soo Kang. Single Cavernous Hemangioma of the Small Bowel Diagnosed by Using Capsule Endoscopy in a Child with Chronic Iron-Deficiency Anemia. Clin Endosc. 2015 Jul; 48(4): 340-344. Published online. 2015 Jul 24. doi: 10.5946/ce.2015.48.4.340
  6. Bae SJ, Hwang G, Kang HS, Song HJ, Chang WY, Maeng YH, Kang KS. Cavernous Single Hemangioma of the Small Bowel Diagnosed by Using Capsule Endoscopy in a Child with Chronic Iron-Deficiency Anemia. Clin Endosc. 2015 Jul;48(4):340-4. doi: 7.5946/ce.2015.48.4.340. Epub 2015 Jul 24.
  7. Sakaguchi M, Sue K, Etoh G, et al. A case of solitary cavernous hemangioma of the small intestine with recurrent clinical anemic attacks in childhood. J. Pediatr Gastroenterol Nutr. 1998;27:342-3.
  8. Кулиев Ч. Б., Поддубный И.B., Исмаилов М.У., Рагимова Х. С., Дьяконова Е.Ю. Гемангиомы как причина кишечных кровотечений у детей. Хирург. 2014;11: 61-6.
  9. Аверьянова Ю.В., Степанов А.Э., Разумовский А.Ю., Поляев Ю.А., Макаров С.П., Васильев К.Г., Бологов А.А., Ашманов К.Ю., Мызин А.В., Исаева М.В., Бурмистров И.Ю., Кочкин В.С., Брюсов Г.П., Рогожин Д.В., Эктова А.П. Успешное лечение синдрома короткой кишки у ребенка с обширной инфантильной гемангиомой брюшной полости. Детская хирургия. 2015; 19 (6): 51-3.
  10. Park J. Large cavernous hemangioma in the jejunum of a 2-year-old boy treated by laparoscopy-assisted resection. J. Korean Assoc Pediatr Surg. 2012;18:24-9.
  11. Старков Ю. Г., Солодинина Е. Н., Новожилова А. В. Подслизистые новообразования желудочно-кишечного тракта в эндоскопической практике. Хирургия. Журнал им. Н.И. Пирогова 2010; (2): 51-9.
  12. Корнилаев П.Г., Шавалеев Р.Р. Гемангиома тонкой кишки, осложненная профузным кровотечением. Хирургия. 2007; 4(5): 6-57.
  13. Liu W, Xu C, Zhong J. The diagnostic value of double-balloon enteroscopy in children with small bowel disease: report of 31 cases. Can J Gastroenterol. 2009;23:635-8.
  14. Oikawa-Kawamoto M, Sogo T, Yamaguchi T, et al. Safety and utility of capsule endoscopy for infants and young children. World J. Gastroenterol. 2013;19:8342-8.
  15. Bar-Meir S, Eliakim R, Nadler M, et al. Second capsule endoscopy for patients with severe iron deficiency anemia. Gastrointest Endosc. 2004; 60: 711-3.

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © , 2019

##common.cookie##