检索结果-南通市图书馆

Small intestine bleeding due to multifocal angiosarcoma

World Journal of Gastroenterology 2012年第44期18卷 6494-6500页

作者： Luisa Zacarias Fhrding Arne Macher stefan braunstein Wolfram Trudo Knoefel stefan Andreas Topp Department of General Visceral and Pediatric SurgeryHeinrich-Heine-UniversityDüsseldorfMoorenstrasse 540225 DüsseldorfGermany Institute of Pathology Heinrich-Heine-UniversityDüsseldorfMoorenstrasse 540225 DüsseldorfGermany

We report a case of an 84-year-old male patient with primary small intestinal *** patient initially presented with anemia and *** endoscopy revealed no signs of upper or lower active gastrointestinal *** patient had been diagnosed 3 years previously with an aortic dilation,which was treated with a *** tomography suggested an aorto-intestinal fistula as the cause of the intestinal bleeding,leading to operative stent explantation and aortic ***,an aorto-intestinal fistula was not found,and the intestinal bleeding did not arrest *** constant need for blood transfusions made an exploratory laparotomy imperative,which showed multiple bleeding sites,predominately in the jejunal wall.A distal loop jejunostomy was conducted to contain the small intestinal bleeding and a segmental resection for histological evaluation was *** histological analysis revealed a lessdifferentiated tumor with characteristic CD31,cytokeratin,and vimentin expression,which led to the diagnosis of small intestinal ***,the infiltrated part of the jejunum was successfully resected in a subsequent operation,and adjuvant chemotherapy with paclitaxel was *** of the small intestine is an extremely rare malignant neoplasm that presents with bleeding and high *** diagnosis and treatment are essential to improve outcome.A small intestinal angiosarcoma is a challenging diagnosis to make because of its rarity,nonspecific symptoms of altered intestinal function,nonspecific abdominal pain,severe melena,and acute abdominal ***,a quick clinical and histological diagnosis and decisive measures including surgery and adjuvant chemotherapy should be the aim.

关键词：消化道出血小肠肉瘤血管早期诊断恶性肿瘤非特异性细胞角蛋白

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：