AI Article Synopsis

  • A 79-year-old woman was admitted to the hospital due to a month-long history of melena (bloody stools) and anemia caused by chronic gastrointestinal bleeding from cavernous hemangiomatosis in the small bowel.
  • She underwent two surgical procedures: an initial laparoscopic jejunal-ileal resection followed by a laparotomic duodenojejunal resection due to ongoing anemia.
  • Cavernous hemangiomatosis is a rare condition (7-10% of benign small bowel tumors) that often causes bleeding; diagnosis may involve various imaging techniques, and surgical resection is the preferred treatment method when feasible, considering the risks of extensive surgeries.

Article Abstract

A 79 year old female individual presented to the hospital and complained of 1 month melena and anemia due to chronic gastrointestinal bleeding because of cavernous hemangiomatosis of the small bowel. After undergoing an initial video laparoscopic jejunal-ileal resection surgery 7 days after first hospitalization, given the persistence of anemia, she underwent laparotomic duodenojejunal resection surgery again 2 months later. Multiple cavernous hemangiomatosis is a rare vascular disease (7-10% of all benign small bowel tumors), and it often manifests with bleeding, which may be occult or massive; more rarely, it manifests with intestinal occlusion or perforation. Diagnoses often require the use of multiple radiological and endoscopic methods; video capsule endoscopy has significantly increased the diagnostic rate. The gold standard of treatment is surgical resection, whenever possible, balancing the need for radicality with the possible metabolic consequences of massive small intestine resections.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11509273PMC
http://dx.doi.org/10.3390/medicina60101664DOI Listing

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