[Small intestinal hemorrhage in a patient with Neurofibromatosis type 1].

Q4 Medicine
Katia Gesell Guevara-Peralta, Nilton Fidel Zegarra-Neira, Rosa Fabiola Bayro-Peñaloza
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引用次数: 0

Abstract

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).

[1型神经纤维瘤病患者的小肠出血]。
我们报告了一例32岁的男性患者,有1型神经纤维瘤病病史,他表现为活动性小肠出血,最初通过观察回肠镜检查中的出血进行诊断,表现为血液动力学不稳定,进行了腹部血管断层扫描,确定了一个对比度增强的肿块和空肠中段的活动性出血,为此进行对供应所述区域的分支进行动脉栓塞的血管造影术。在患者病情稳定的情况下,进行了双球囊顺行肠镜检查,观察上皮下溃疡病变,进行了内镜纹身,最后通过腹腔镜将手术切除。病理学研究符合空肠胃肠道间质瘤(GIST)。
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
49
期刊介绍: La REVISTA DE GASTROENTEROLOGíA DEL PERÚ, es la publicación oficial de la Sociedad de Gastroenterología del Perú que publica artículos originales, artículos de revisión, reporte de casos, cartas e información general de la especialidad; dirigido a los profesionales de la salud con especial interés en la gastroenterología. La Revista de Gastroenterología del Perú es una publicación de periodicidad trimestral y tiene como objetivo la publicación de artículos científicos inéditos en el campo de la gastroenterología, proporcionando información actualizada y relevante de la especialidad y áreas afines. La Revista de Gastroenterología del Perú publica artículos en dos idiomas, español e inglés, a texto completo en la versión impresa yelectrónica. Los artículos científicos son sometidos a revisores o árbitros nacionales e internacionales, especialistas que opinan bajo la modalidad de doble ciego y de manera anónima sobre la calidad y validez de los mismos. El número de revisores depende del tipo de artículo, dos revisores como mínimo para artículos originales y uno como mínimo para otros tipos de artículos.
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