Korean J Gastrointest Endosc > Volume 42(4); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(4): 263-267.
빈혈 환자에서 단일풍선 소장내시경으로 발견한 공장의 모세혈관상 혈관종 1예
조준형ㆍ장재영ㆍ조창현ㆍ심재준ㆍ동석호ㆍ김효종ㆍ김병호ㆍ장영운
경희대학교 의과대학 내과학교실
A Case of Capillary Hemangioma in the Jejunum Detected by Single Balloon Enteroscopy in a Patient with Anemia
Jun-Hyung Cho, M.D., Jae Young Jang, M.D., Chang Hyun Cho, M.D., Jaejun Shim, M.D., Seok Ho Dong, M.D., Hyo Jong Kim, M.D., Byung-Ho Kim, M.D. and Young Woon Chang, M.D.
Department of Internal Medicine, Kyunghee University College of Medicine, Seoul, Korea
Abstract
Hemangiomas are uncommon benign vascular tumors that account for up to 10% of all small bowel tumors. The jejunum is the most common location, and gastrointestinal bleeding is a frequent clinical presentation. Histologically, hemangiomas are classified as cavernous, capillary, or mixed types. Capillary hemangiomas are dense collections of capillaries usually with a hyperplastic endothelium. There have been a few cases of small bowel capillary hemangioma revealed by capsule endoscopy and confirmed after surgical resection. But preoperative detection of hemangiomas in the small intestine has not been reported, as far as we know, associated with the use of balloon-assisted enteroscopy. This report describes a 44-year-old male with a small bowel mass considered to be a cause of severe iron deficiency anemia. In this case, we performed capsule endoscopy and single balloon enteroscopy to examine the lesion. The patient then underwent a segmental resection of the jejunum, which confirmed the presence of a capillary hemangioma with surface ulceration. (Korean J Gastrointest Endosc 2011;42: 263-267)
Key Words: Capillary hemangioma, Single-balloon enteroscopy
주요어: 모세혈관상 혈관종, 단일풍선 소장내시경
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