Mechanical intestinal obstruction due to isolated diffuse venous malformations in the gastrointestinal tract: A case report and review of literature

作     者：Han-Bo Li Jing-Fang Lv Ning Lu Zong-Shun Lv 

作者机构：Department of General SurgeryTianjin General Surgery InstituteTianjin Medical University General HospitalTianjin 300052China Department of Plastic SurgeryPlastic Surgery HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100144China Department of GastroenterologyTianjin Medical University General HospitalTianjin 300052China 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2020年第8卷第1期

页      面：157-167页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Case report Isolated gastrointestinal venous malformations Mechanical intestinal obstruction Pull-through transection and coloanal anastomosis Diagnosis Treatment 

摘      要：BACKGROUND Isolated gastrointestinal venous malformations(GIVMs)are extremely rare congenital developmental abnormalities of the venous *** of their asymptomatic nature,the diagnosis is often quite ***,as symptomatic GIVMs have nonspecific clinical manifestations,misdiagnosis is very ***,we report a case of isolated diffuse GIVMs inducing mechanical intestinal obstruction.A literature review was also conducted to summarize clinical features,diagnostic points,treatment selections and differential diagnosis in order that doctors may have a comprehensive understanding of this *** SUMMARY A 50-year-old man presented with recurrent painless gastrointestinal bleeding for two months and failure to pass flatus and defecate with nausea and vomiting for ten *** rectal examination found bright red blood and soft nodular masses 3 cm above the anal *** tomography showed that part of the descending colon and rectosigmoid colon was thickened with phleboliths in the intestinal *** exhibited bluish and reddish multinodular submucosal masses and flat submucosal serpentine *** ultrasonography showed anechoic cystic spaces within intestinal *** lesions were initially thought to be isolated VMs involving part of the descending colon and rectosigmoid *** subtotal proctocolectomy,pullthrough transection and coloanal anastomosis and ileostomy were *** revealed intact mucosa and dilated,thin-walled blood vessels in the submucosa,muscularis,and serosa involving the entire *** patient recovered with complete symptomatic relief during the 52-mo follow-up *** The diagnosis of isolated GIVMs is *** information presented here is significant for the diagnosis and management of symptoms.