Open AccessSurgical treatment of gemangioma of the small intestine complicated by recurrent bleedings and blood losses of heavy severity
Author(s) -
I A Soloviev,
М В Васильченко,
S V Voloshin,
А.V. Kudryavtseva,
A. V Kolunov,
T E Koshelev,
N A Sizonenko
Publication year - 2018
Publication title -
vestnik rossijskoj voenno-medicinskoj akademii
Language(s) - English
Resource type - Journals
eISSN - 2687-1424
pISSN - 1682-7392
DOI - 10.17816/brmma12260
Subject(s) - small intestine , medicine , gastrointestinal tract , duodenum , hemangioma , gastrointestinal bleeding , lumen (anatomy) , large intestine , stomach , rectum , radiology , surgery , gastroenterology
The frequency of gastrointestinal bleeding in the modern structure of emergency surgical pathology still occupies a leading position. In this case, the predominant localization of sources-the stomach and duodenum, as well as the colon and rectum. The literature describes a few observations of severe life-threatening bleeding from tumours of the small intestine. Hemangioma of the small intestine in the structure of tumours of the gastrointestinal tract occurs only up to 0,3% of cases, which is probably due to its rare complications, in particular - bleeding. Presents a case of rare recurrent bleeding from the small intestine hemangioma into the lumen of the gastrointestinal tract with the development of severe posthemorrhagic anaemia. The features of diagnosis and surgical tactics in these cases are discussed. It was established that the classical standards of examination of the patient with signs of gastrointestinal bleeding will not allow establishing the source in the case of bleeding from the small intestine hemangioma. In this observation, using multiphase computed tomography in the mode of two-energy scanning followed by the construction of iodine maps, it was possible to diagnose the source of bleeding, establish its localization and perform a resection of the affected area of the small intestine.