2.A Case of Inflammatory Fibroid Polyp Presenting with Jejunal Bleeding.
Man Keun HWANG ; Jung Hun KIM ; Sang Won PARK ; Jae Bum PARK ; Chang Ik LEE ; Chang Gu LEE ; Jin Kwan LEE
The Korean Journal of Gastroenterology 2003;42(4):337-340
Inflammatory fibroid polyp occurs very rarely in the jejunum and gastrointestinal bleeding as an initial manifestation of inflammatory fibroid polyp has not been reported. We report a case of a jejunal inflammatory fibroid polyp presenting with melena for 10 days. Upper gastrointestinal endoscopic examination was negative for any active bleeding lesions and abdominal angiography failed to localize the bleeding site as well. In contrast, computed tomography of the abdomen demonstrated a segmental wall thickening of the jejunum with a tumor-like mass lesion associated with dense contrast enhancement. Consistent with this, technetium 99m red blood cells scintigraphy exhibited red cell pooling at the right upper quadrant. On exploratory laparotomy, there was an active bleeding from the site of the jejunal tumor and a segmental resection was performed. Histologically, the tumor lesion of the jejunum was consistent with inflammatory fibroid polyp. Thus, we conclude that the tumor lesion was a cause of the gastrointestinal bleeding.
Adult
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Gastrointestinal Hemorrhage/*etiology
;
Humans
;
Intestinal Polyps/diagnosis/*pathology
;
Jejunal Diseases/diagnosis/*pathology
;
Male
3.Massive gastrointestinal bleeding from Meckel diverticulum with ectopic pancreatic tissue.
Jian-feng YANG ; Lei-min SUN ; Xian-fa WANG ; Ning DAI
Chinese Medical Journal 2011;124(4):631-633
Meckel diverticulum (MD), a congenital gastrointestinal anomaly, is often involved in pediatrics, but less in the adult population. The patient in this report was a 69-year-old female presented with massive gastrointestinal bleeding causing hemorrhagic shock due to MD containing ectopic pancreatic tissue. A review of the literature revealed that gastrointestinal bleeding from MD containing ectopic pancreatic tissue is rare in adults and difficult to be identified preoperation. MD should be considered as one of the differential diagnosis for lower gastrointestinal bleeding, although scarce in adults, especially when the patient has massive painless bleeding.
Aged
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Choristoma
;
diagnosis
;
physiopathology
;
Female
;
Gastrointestinal Hemorrhage
;
diagnosis
;
etiology
;
Humans
;
Meckel Diverticulum
;
diagnosis
;
physiopathology
;
Pancreas
;
pathology
5.Causes of hematochezia in exclusively breast fed infants.
Chinese Journal of Contemporary Pediatrics 2011;13(6):455-457
OBJECTIVETo investigate the causes of haematochezia in exclusively breast fed infants.
METHODSSeventy-five babies presenting with haematochezia were enrolled. These babies were exclusively breast fed. The age of haematochezia occurrence, concomitant symptoms and laboratory findings (including routine blood test, routine stool test, liver function, stool culture, colonoscopy and histological examination) were recorded. The mothers of the 75 babies were given a diet without animal and floristic proteins for four weeks. The symptoms of haematochzia in the babies were observed after maternal protein-free diets.
RESULTSHaematochezia occurred at an average age of 7.4 weeks. Diarrhea was the most common concomitant symptom (71%). The laboratory testing showed that mild anaemia was the most common (60%). Red cells and white cells were found in the routine stool test. Stool culture was negative. Colonitis was proved through colonoscopy. Twenty babies underwent histological examinations and eosinophilia was noted. Gross hematochezia disappeared 72-96 hrs after maternal protein-free diets.
CONCLUSIONSExclusively breast fed infants may be sensitive to protein taken by their mothers and may appear with haematochazia.
Breast Feeding ; Child, Preschool ; Colonoscopy ; Female ; Gastrointestinal Hemorrhage ; diagnosis ; etiology ; pathology ; Humans ; Infant ; Male
6.Report of a case with small intestinal telangiectasis.
Cheng GUO ; Li CHEN ; Jin-zhi LUO ; Jing WU ; Ze-yu LIU ; Cui-ping ZHAO
Chinese Journal of Pediatrics 2013;51(9):694-695
7.An Adult Case of Small Bowel Intussusception Caused by Hemangioma Presenting with Intestinal Bleeding.
Sun Young KIM ; Tae Joo JEON ; Jin Hee HONG ; Gwang Sil KIM ; Tae Hoon OH ; Dong Dae SEO ; Won Chang SHIN ; Won Choong CHOI
The Korean Journal of Gastroenterology 2008;52(3):183-187
Intussusception is primarily a disease of children, and is relatively rare in adults. Unlike childhood intussusception, adult intussusception has an identifiable leading lesion such as malignant or benign neoplasm. However, intussusception caused by hemangioma is very rare. There were few cases of small bowel intussusception caused by hemangioma in adults, but those reports were presented with abdominal pain. This report describes a 65-year-old female who suffered from small bowel intussusception caused by hemangioma presenting with intestinal bleeding. Upper gastrointestinal endoscopy and colonoscopy were performed, but bleeding focus was not found. Abdominal computed tomography showed the target sign of small bowel with a leading point of mass. This mass turned out to be a hemangioma after the small bowel resection. Therefore, small bowel intussusception by hemangioma should be also considered as a bleeding focus when an adult patient presented intestinal bleeding without bleeding focus in the stomach and colon. Herein we report a case of small bowel intussusception caused by hemangioma presenting with intestinal bleeding.
Aged
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Diagnosis, Differential
;
Female
;
Gastrointestinal Hemorrhage/*etiology
;
Hemangioma/*complications/pathology
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Humans
;
Intestinal Neoplasms/*complications/pathology
;
*Intestine, Small
;
Intussusception/*diagnosis/etiology/pathology
;
Tomography, X-Ray Computed
10.Recurrent Lower Gastrointestinal Bleeding from Congenital Arteriovenous Malformation in the Terminal Ileum Mimicking Intestinal Varicosis: A Case Report.
Jae Hee CHEON ; Ho June SONG ; Joo Sung KIM ; Kyu Joo PARK ; Woo Ho KIM ; Hyun Chae JUNG ; In Sung SONG
Journal of Korean Medical Science 2007;22(4):746-749
We report on an exceptional vascular cause of gastrointestinal hemorrhage. A 30-yr-old man was admitted because of recurrent hematochezia. Colonoscopy showed circumferential, erythematous, and nodular vascular distensions with hematocystic spots in the terminal ileum resembling varicosis and subsequent computed tomography with 3-dimensional angiographic reconstruction revealed a vascular architecture around the terminal ileum. No other potential source of bleeding was identified. The patient was treated by ileocecectomy and the final diagnosis was of an arteriovenous malformation confined to the terminal ileum. He has been followedup without a further hemorrhagic episode.
Adult
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Arteriovenous Malformations/complications/*pathology
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Diagnosis, Differential
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Gastrointestinal Hemorrhage/etiology/*pathology
;
Humans
;
Ileum/*abnormalities
;
Intestines/*blood supply
;
Male
;
Recurrence
;
Varicose Veins/etiology/*pathology