血管造影で診断された空腸平滑筋腫の1例

概要

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A 45-year-old male patient was admitted to our hospital with a chief complaint of melena on November 28, 1975. He had been treated for iron deficiency anemia during 5 years prior to the admission without any abnormality in the routine X-ray examination of the stomach and the small intestine. The endoscopic examination of the upper gastrointestinal tract and the selective abdominal angiography were immediately performed after the admission. The endoscopic examination of the stomach and duodenum showed no abnormal changes, while a hypervascular mass lesion at a branch of the superior mesentric artery to the jejunum was detected by the selective abdominal angiography. A lobulated tumor with central ulcer was found by the surgical operation developing mostly on the serosal side, approximately 60cm distal to the Treitz ligament. The tumor was histologically diagnosed as a benign leiomyoma. These results suggest that the selective abdominal angiography is a valuable examination for the diagnosis of the intestinal tumors, paticularly with developing extraluminal extension and gastrointestinal bleeding of the unknown origin.
北里大学の論文
1977-04-30