1.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
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Humans
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Intestinal Polyps/diagnosis/*pathology
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Jejunal Diseases/diagnosis/*pathology
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Male
2.Jejunal Diverticular Bleeding Diagnosed by Double-Balloon Enteroscopy: A Case Report and Review of Literatures.
Won Gil CHUNG ; Hong Joo KIM ; Seok KIM ; Young Ghil CHOI ; Hyo Seon SEOK ; Do Young LEE ; Jung Ho PARK ; Seong Gwun KIM
The Korean Journal of Gastroenterology 2007;50(4):260-264
Jejunal diverticula is a rare disease and an unusual cause of obscure gastrointestinal hemorrhage. Obscure gasterointestinal bleeding is difficult to treat because the bleeding site cannot be identified by routine endoscopy and contrast studies. A wireless capsule endoscopy is not invasive and can visualize the entire small bowel. However, this method has limitations of incapability of taking biopsies and performing endoscopic interventions such as polypectomy or stent insertion. The double-balloon enteroscopy is being used frequently for the diagnosis and management of various small bowel diseases. We report a case of proximal jejunal diverticular bleeding diagnosed by double-balloon enteroscopy and treated with angiographic embolization.
Colonoscopy/*methods
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Diagnosis, Differential
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*Diverticulum
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Female
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Gastrointestinal Hemorrhage/*diagnosis
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Humans
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Jejunal Diseases/*pathology
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Middle Aged
3.Intussusception Secondary to Jejunal Lymphangioma in a 13-year-old Girl.
Ho Sung PARK ; Ho LEE ; Woo Sung MOON ; Seung Chan LEE ; Woo Bong CHOI ; Hyun Woong CHOI
The Korean Journal of Gastroenterology 2007;49(4):256-259
Lymphangioma is a benign tumor composed of numerous small or large thin-walled lymphatic spaces. It shows a predilection for head, neck, and axilla. Jejunal lymphangioma in children is extremely rare. We present a case of 13-year-old girl with jejuno-jejunal intussusception secondary to lymphangioma in jejunum. To our knowledge, this is the second report of jejunal lymphangioma causing intussusception in a child.
Adolescent
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Female
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Humans
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Intussusception/*etiology/surgery
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Jejunal Diseases/*etiology/surgery
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Jejunal Neoplasms/*complications/*diagnosis/pathology
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Lymphangioma/*complications/*diagnosis/pathology
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Tomography, X-Ray Computed
4.Intramural sparganosis manifested as intestinal obstruction: a case report.
Kyung Ja CHO ; Hyun Soon LEE ; Je G CHI
Journal of Korean Medical Science 1987;2(2):137-139
A case of intramural sparganosis of jejunum presenting as intestinal obstruction is described. Resected intestine from a 48 year old man with acute abdomen revealed a degenerated sparganum in the submucosa with typical tissue reaction and extensive edema. The tissue reaction was basically granulomatous, consisting of layers of inner palisading histiocytes and outer mononuclear cell infiltration. Many calcospherules were prominent within the degenerated worm. Eosinophil infiltration was scanty.
Granuloma/pathology
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Humans
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Intestinal Obstruction/*etiology
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Jejunal Diseases/etiology
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Male
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Middle Aged
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Sparganosis/*diagnosis
5.Dieulafoy's Lesion of Jejunum: Presenting Small Bowel Mass and Stricture.
Jai Keun KIM ; Byung June JO ; Ki Myung LEE ; Joo Sung SUN ; Je Hwan WON ; Myung Wook KIM ; Jae Ho HAN
Yonsei Medical Journal 2005;46(3):445-447
Dieulafoy's lesion is an uncommon cause of gastrointestinal bleeding. Hemorrhage occurs through mucosal erosion from an abnormally dilated submucosal artery. Although Dieulafoy's lesion is usually located in the stomach, it may occur anywhere in the gastrointestinal tract. We report here on a case of jejunal Dieulafoy's lesion presenting as a mass and short segment stricture on CT and enteroclysis.
Adult
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Arteriovenous Malformations/*pathology
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Diagnosis, Differential
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Gastrointestinal Hemorrhage/*pathology
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Humans
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Jejunal Diseases/*pathology
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Jejunum/blood supply/pathology
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Male
6.Small Intestinal Perforation Caused by Primary Jejunal MALT Lymphoma.
Won Cheol JANG ; You Sun KIM ; Seong Woo HONG ; Yun Kyung KANG
The Korean Journal of Gastroenterology 2008;51(4):215-218
No abstract available.
Endoscopy, Digestive System
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Female
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Humans
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Intestinal Perforation/*diagnosis/etiology/surgery
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Jejunal Diseases/*diagnosis/etiology/surgery
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Jejunal Neoplasms/complications/*diagnosis/pathology
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Lymphoma, B-Cell, Marginal Zone/complications/*diagnosis/pathology
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Middle Aged
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Tumor Markers, Biological/analysis
9.A Case of Idiopathic Recurrent Duodenojejunitis.
Sung Yeol JANG ; Jung Hee KIM ; Sung Hae HA ; Jeong Ah HWANG ; Sang Jong PARK ; So Ya PAIK
The Korean Journal of Gastroenterology 2012;59(3):245-249
There are various etiologies of duodenojejunitis such as Henoch-Schonlein purpura (H-S purpura), vasculitis, Crohn's disease, celiac sprue, ischemia, lymphoma, Zollinger-Ellison syndrome, bacteria or parasite infection, radiation, drug induced jejunitis, eosinophilic jejunitis, and toxins. A 31-year-old man presented with left upper quadrant pain. He did not have febrile sense, hematochezia, melena, diarrhea, arthralgia and hematuria. He had neither drug history nor traveling history. Esophagogastroduodenoscopy showed diffuse mucosal erythema and segmental hemorrhagic erosions on the distal area to the descending portion of the duodenum and proximal jejunum, which were commonly observed in the gastrointestinal involvement of H-S purpura. However, he showed no skin lesions, joint and urologic problems until the discharge. Autoimmune markers such as antinuclear antibody and antineutrophil cytoplasmic antibody were negative. Celiac and mesenteric angiogram showed no vascular abnormality. After the administration of oral prednisolone 40 mg daily for therapeutic trial, abdominal pain and endoscopic lesions were improved. He experienced relapses of same episode without skin lesions 16 times during follow-up of 8 years, which were also treated with prednisolone. The abdominal computed tomography during the follow-up also showed no significant finding. We report a case of primary recurrent duodenojejunitis similar to the gastrointestinal involvement of H-S purpura without purpura.
Adult
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Angiography
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Anti-Inflammatory Agents/therapeutic use
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Duodenitis/*diagnosis/drug therapy/pathology
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Endoscopy, Gastrointestinal
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Enteritis/*diagnosis/drug therapy/pathology
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Humans
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Jejunal Diseases/*diagnosis/drug therapy/pathology
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Male
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Prednisolone/therapeutic use
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Purpura, Schoenlein-Henoch/diagnosis
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Recurrence
10.Chronic Non-granulomatous Ulcerative Jejunoileitis Assessed by Wireless Capsule Endoscopy.
Hyung Hun KIM ; You Sun KIM ; Kyung Sun OK ; Soo Hyung RYU ; Jung Hwan LEE ; Jeong Seop MOON ; Hyuck Sang LEE ; Hye Kyung LEE
The Korean Journal of Gastroenterology 2010;56(6):382-386
Chronic non-granulomatous jejunoileitis is a rare disease characterized by malabsorption, abdominal pain, and diarrhea that causes shallow ulcers in the small bowel. The etiology of chronic non-granulomatous jejunolieitis remains unknown. A 69-year-old man complained of abdominal pain and lower extremity edema. A 99m-Tc albumin scan showed increased radioactivity at the left upper quadrant, suggesting protein-losing enteropathy. A small bowel follow-through did not disclose any lesions. Wireless capsule endoscopy revealed several small bowel ulcers and strictures. A jejunoileal segmentectomy with end-to-end anastomosis was performed, and the histologic examination revealed non-granulomatous ulcers with focal villous atrophy. Ruling out all other possible diagnoses, we diagnosed our patient with chronic non-granulomatous ulcerative jejunoileitis. Postoperatively, the patient's abdominal pain and lower extremity edema improved, and the serum albumin normalized. This is the first case of chronic non-granulomatous ulcerative jejunoileitis localized by wireless capsule endoscopy and treated successfully with segment resection.
Abdominal Pain/etiology
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Aged
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Atrophy/diagnosis/etiology
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Capsule Endoscopy
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Chronic Disease
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Diagnosis, Differential
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Humans
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Ileitis/*diagnosis/pathology
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Intestine, Small/pathology
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Jejunal Diseases/*diagnosis/pathology
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Malabsorption Syndromes/diagnosis/pathology
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Male
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Mastectomy, Segmental
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Protein-Losing Enteropathies/diagnosis
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Technetium Tc 99m Aggregated Albumin/diagnostic use
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Ulcer/pathology