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Endoscopy 1980; 12(6): 306-310
DOI: 10.1055/s-2007-1021765
CASE REPORT

© Georg Thieme Verlag KG Stuttgart · New York

Massive Intestinal Bleeding in Hemangiomatosis of the Duodenum

K. Ikeda* , H. Murayama** , H. Takano*** , S. Araki* , K. Ikejiri****
  • *Second Department of Surgery, School of Medicine, Fukuoka University, 34 Nanakuma, Nishi-ku, Fukuoka 814, Japan
  • **First Department of Pathology, School of Medicine, Fukuoka University, 34 Nanakuma, Nishi-ku, Fukuoka 814, Japan
  • ***Takano Hospital, 2-2163 Hakomatsu, Higashi-ku, Fukuoka 812, Japan
  • ****Department of Surgery, Saiseikai Fukuoka General Hospital, 1-3-46 Tenjin, Chuo-ku, Fukuoka 810, Japan
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Publication History

Publication Date:
17 March 2008 (online)

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Summary

A 33-year-old male was admitted to Takano Hospital with fainting spell and diaphoresis due to massive tarry stool. He had been working and in good health until 2 days before admission. Urgent duodenal endoscopy disclosed hemorrhage from an angiomatous lesion of the duodenum. A duodenal resection with duodenojejunostomy was performed. Pathologic examination revealed a cavernous hemangiomatosis of the duodenum. The patient had a good postoperative course. Hemangioma of the intestinal tract is rare. To our knowledge, the present case is the first case in which urgent endoscopy has succeeded in establishing the preoperative diagnosis of this lesion and ascertaining the bleeding point.

Key words:

Intestinal Bleeding - Hemangiomatosis - Duodenum

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