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Obscure Gastrointestinal Bleeding Caused by a Small Intestinal Lymphatic-venous Malformation: A Case Report with a Literature Review
A 44-year-old woman presented with severe anemia. We strongly suspected gastrointestinal bleeding; however, esophagogastroduodenoscopy, colonoscopy, and computed tomography showed no bleeding sources. Video capsule endoscopy revealed an actively bleeding submucosal lesion within the jejunum. Double-...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9970798/ https://www.ncbi.nlm.nih.gov/pubmed/35732456 http://dx.doi.org/10.2169/internalmedicine.9733-22 |
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author | Hamada, Yasuhiko Umeda, Yuhei Ikenoyama, Yohei Shigefuku, Akina Yukimoto, Hiroki Nakamura, Misaki Katsurahara, Masaki Tanaka, Kyosuke Horiki, Noriyuki Sugimoto, Yuka Nakagawa, Hayato |
author_facet | Hamada, Yasuhiko Umeda, Yuhei Ikenoyama, Yohei Shigefuku, Akina Yukimoto, Hiroki Nakamura, Misaki Katsurahara, Masaki Tanaka, Kyosuke Horiki, Noriyuki Sugimoto, Yuka Nakagawa, Hayato |
author_sort | Hamada, Yasuhiko |
collection | PubMed |
description | A 44-year-old woman presented with severe anemia. We strongly suspected gastrointestinal bleeding; however, esophagogastroduodenoscopy, colonoscopy, and computed tomography showed no bleeding sources. Video capsule endoscopy revealed an actively bleeding submucosal lesion within the jejunum. Double-balloon enteroscopy revealed a 20-mm continuously bleeding submucosal lesion in the distal jejunum. We suspected small intestinal vascular malformation and performed surgical resection. The resected specimen pathologically comprised dilated, thin-walled lymphatic channels and blood vessels involving the small intestinal submucosa. Therefore, the patient was diagnosed with small intestinal lymphatic-venous malformation. Postoperatively, the patient recovered well, and recurrence was not observed. |
format | Online Article Text |
id | pubmed-9970798 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-99707982023-02-28 Obscure Gastrointestinal Bleeding Caused by a Small Intestinal Lymphatic-venous Malformation: A Case Report with a Literature Review Hamada, Yasuhiko Umeda, Yuhei Ikenoyama, Yohei Shigefuku, Akina Yukimoto, Hiroki Nakamura, Misaki Katsurahara, Masaki Tanaka, Kyosuke Horiki, Noriyuki Sugimoto, Yuka Nakagawa, Hayato Intern Med Case Report A 44-year-old woman presented with severe anemia. We strongly suspected gastrointestinal bleeding; however, esophagogastroduodenoscopy, colonoscopy, and computed tomography showed no bleeding sources. Video capsule endoscopy revealed an actively bleeding submucosal lesion within the jejunum. Double-balloon enteroscopy revealed a 20-mm continuously bleeding submucosal lesion in the distal jejunum. We suspected small intestinal vascular malformation and performed surgical resection. The resected specimen pathologically comprised dilated, thin-walled lymphatic channels and blood vessels involving the small intestinal submucosa. Therefore, the patient was diagnosed with small intestinal lymphatic-venous malformation. Postoperatively, the patient recovered well, and recurrence was not observed. The Japanese Society of Internal Medicine 2022-06-21 2023-02-01 /pmc/articles/PMC9970798/ /pubmed/35732456 http://dx.doi.org/10.2169/internalmedicine.9733-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Hamada, Yasuhiko Umeda, Yuhei Ikenoyama, Yohei Shigefuku, Akina Yukimoto, Hiroki Nakamura, Misaki Katsurahara, Masaki Tanaka, Kyosuke Horiki, Noriyuki Sugimoto, Yuka Nakagawa, Hayato Obscure Gastrointestinal Bleeding Caused by a Small Intestinal Lymphatic-venous Malformation: A Case Report with a Literature Review |
title | Obscure Gastrointestinal Bleeding Caused by a Small Intestinal Lymphatic-venous Malformation: A Case Report with a Literature Review |
title_full | Obscure Gastrointestinal Bleeding Caused by a Small Intestinal Lymphatic-venous Malformation: A Case Report with a Literature Review |
title_fullStr | Obscure Gastrointestinal Bleeding Caused by a Small Intestinal Lymphatic-venous Malformation: A Case Report with a Literature Review |
title_full_unstemmed | Obscure Gastrointestinal Bleeding Caused by a Small Intestinal Lymphatic-venous Malformation: A Case Report with a Literature Review |
title_short | Obscure Gastrointestinal Bleeding Caused by a Small Intestinal Lymphatic-venous Malformation: A Case Report with a Literature Review |
title_sort | obscure gastrointestinal bleeding caused by a small intestinal lymphatic-venous malformation: a case report with a literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9970798/ https://www.ncbi.nlm.nih.gov/pubmed/35732456 http://dx.doi.org/10.2169/internalmedicine.9733-22 |
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