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KMID : 0371320110800050362
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Journal of the Korean Surgical Society
2011 Volume.80 No. 5 p.362 ~ p.366
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Hemorrhage from a jejunal polypoid hemangioma: single incisional laparoscopic approach
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Kye Bong-Hyeon
Kim Soo-Hong
Lee Jae-Im
Kim Jun-Gi
Oh Seong-Taek
Kang Won-Kyung
Jung Chan-Kwon
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Abstract
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Bleeding lesions in the small bowel are a much more significant challenge in terms of detection and treatment than those of the stomach or the large bowel, and require extensive gastrointestinal evaluation before a diagnosis can be made. The authors report the case of an 81-year-old female patient who underwent small bowel segmental resection by single incisional laparoscopic approach for distal jejunalhemangioma, which caused severe anemia. An abdominal computed tomography scan demonstrated a highly enhancing polypoid tumor in the distal ileum. During the single incisional laparoscopic exploration using a 2 cm sized skin incision, jejuno-jejunal intussusceptions and a jejunal tumor were noted. Single incisional laparoscopy was performed to assist the jejunal segmental resection. Pathologic reports confirmed the lesion to be a jejunalhemangioma. The authors report an unusual case of jejunalhemangioma caused by intussusception and gastrointestinal hemorrhage, which was treated by single incisional laparoscopic surgery.
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KEYWORD
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Jejunal hemangioma, Single incision, Gastrointestinal hemorrhage
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