Hemorrhage from a jejunal polypoid hemangioma: single incisional laparoscopic approach.
10.4174/jkss.2011.80.5.362
- Author:
Bong Hyeon KYE
1
;
Soo Hong KIM
;
Jae Im LEE
;
Jun Gi KIM
;
Seong Taek OH
;
Won Kyung KANG
;
Chan Kwon JUNG
Author Information
1. Department of Surgery, The Catholic University of Korea School of Medicine, Seoul, Korea. wonkkang@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Jejunal hemangioma;
Single incision;
Gastrointestinal hemorrhage
- MeSH:
Aged, 80 and over;
Anemia;
Female;
Gastrointestinal Hemorrhage;
Hemorrhage;
Humans;
Ileum;
Intussusception;
Laparoscopy;
Skin;
Stomach
- From:Journal of the Korean Surgical Society
2011;80(5):362-366
- CountryRepublic of Korea
- Language:English
-
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.
