医学
神经纤维瘤病
纤维神经瘤
间质瘤
主旨
空肠
双气囊小肠镜
放射科
血管造影
病变
外科
胃肠道出血
内窥镜检查
间质细胞
内科学
作者
Katia Gesell Guevara-Peralta,Nilton Fidel Zegarra-Neira,Rosa Fabiola Bayro-Peñaloza
出处
期刊:PubMed
日期:2023-08-19
卷期号:43 (2): 134-138
摘要
We present the case of a 32-year-old male patient with a history of Neurofibromatosis type 1, who presented with active small bowel bleeding, initially diagnosed by observing bleeding in ileoscopy, presenting with hemodynamic instability, abdominal angiotomography was performed, identifying a mass with contrast enhancement and active bleeding at the middle jejunum level, for which an angiography with arterial embolization of the branch that supplies said area is performed. With the patient stable, a double-balloon antegrade enteroscopy was performed, observing a subepithelial, ulcerated lesion, endoscopic tattooing was performed and finally surgery was sent for resection by laparoscopy. The pathology study was compatible with a jejunal gastrointestinal stromal tumor (GIST).
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