成人小肠海绵状血管瘤反复出血7年

Repeated intestinal bleeding for 7 years in an adult case of small intestinal cavernous hemangioma

目的:探讨小肠海绵状血管瘤的诊断和治疗方法。方法:复习成人小肠海绵状血管瘤病例,并检索相关文献。结果:小肠血管瘤发生率非常低,常无特征性症状体征,用传统检查方法很难确诊。小肠镜和胶囊内镜的应用不仅可明显提高术前小肠血管瘤的诊断率,而且术中应用具有指导价值。结论:小肠镜和胶囊内镜在小肠海绵状血管瘤的诊断中具有较高的敏感性和特异性,值得推广。

Objective：To discuss the diagnosis and treatment of small intestinal cavernous hemangioma. Methods：To review the case of small intestinal avernous hemangioma and the associated literatures. Results：Small intestinal cavernous hemangioma, with extremely low incidence,has always no marked symptoms and signs,so it＇s difficult to be diagnosed with traditional methods. Capsule endoscopy and enteroscopy not only are useful in diagnosis of small intestinal cavernous hemangioma pre-operation,but also has instruction value in-operation. Conclusion：Capsule endoscopy and enteroscopy have comparative higher sensitivity and specificity in diagnosis of small intestinal cavernous hemangioma and are worth of being generalized.