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KMID : 1038120140470060575
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Clinical Endoscopy
2014 Volume.47 No. 6 p.575 ~ p.578
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Polypoid Arteriovenous Malformation Presenting with Jejunojejunal Intussusceptions in an Adult
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Lim Doo-Ho
Ahn Ji-Yong
Seo Myeong-Sook
Yun Ji-Hyun
Kim Tae-Hyung
Jung Hwoon-Yong
Kim Jin-Ho
Park Young-Soo
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Abstract
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Jejunal polypoid arteriovenous malformations (AVMs) and jejunojejunal intussusceptions are both rare. Here, we present the case of a 61-year-old woman who suffered intermittent episodes of abdominal pain over the course of 13 years. A computed tomography scan of her abdomen and pelvis revealed a distal jejunojejunal intussusception. A suspected low density mass was observed at the tip of the intussusception. Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy. The final diagnosis was a polypoid AVM measuring 5×3.5×3 cm. We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.
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KEYWORD
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Abdominal pain, Arteriovenous malformations, Jejunum, Intussusception, Polypoid arteriovenous malformation
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