SMALL BOWEL BLEEDING DUE TO SUBEPITHELIAL LESION. THINK BEYOND GIST

38 yo male, with previous history of upper GI bleeding from duodenal ulcers, not associated to H. pylori. He presented to emergency department with a 5-day melena history. Upper endoscopy and colonoscopy were performed without any significant findings. A videocapsule was then performed and an active site of bleeding was found in terminal ileum. A retrograde doble balloon enteroscopy was performed finding a 2 cm ulcerated subepithelial lesion, it was treated with cyanoacrylate and tattooed for subsequent surgery which was performed successfully. A CT scan showed a tumor in terminal ileum with cyanoacrylate. Final pathological report was of Neuroendocrine tumor.

Publication History

Article published online:
14 April 2022