Hemorrhage from a jejunal polypoid hemangioma: single incisional laparoscopic approach
계봉현, 김수홍, 이재임, 김준기, 오성택, 강원경, 정찬권,
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계봉현 ( Kye Bong-Hyeon )
Catholic University School of Medicine Department of Surgery
김수홍 ( Kim Soo-Hong )
Catholic University School of Medicine Department of Colorectal Surgery
이재임 ( Lee Jae-Im )
Catholic University School of Medicine Department of Colorectal Surgery
김준기 ( Kim Jun-Gi )
Catholic University School of Medicine Department of Surgery
오성택 ( Oh Seong-Taek )
Catholic University School of Medicine Department of Surgery
강원경 ( Kang Won-Kyung )
Catholic University School of Medicine Department of Surgery
정찬권 ( Jung Chan-Kwon )
Catholic University School of Medicine Department of Pathology
KMID : 0371320110800050362
Abstract
Bleeding lesions in the small bowel are a much more significant challenge in terms of detection and treatment than those of the stomach or the large bowel, and require extensive gastrointestinal evaluation before a diagnosis can be made. The authors report the case of an 81-year-old female patient who underwent small bowel segmental resection by single incisional laparoscopic approach for distal jejunalhemangioma, which caused severe anemia. An abdominal computed tomography scan demonstrated a highly enhancing polypoid tumor in the distal ileum. During the single incisional laparoscopic exploration using a 2 cm sized skin incision, jejuno-jejunal intussusceptions and a jejunal tumor were noted. Single incisional laparoscopy was performed to assist the jejunal segmental resection. Pathologic reports confirmed the lesion to be a jejunalhemangioma. The authors report an unusual case of jejunalhemangioma caused by intussusception and gastrointestinal hemorrhage, which was treated by single incisional laparoscopic surgery.
키워드
Jejunal hemangioma; Single incision; Gastrointestinal hemorrhage
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