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

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World Journal of Clinical Cases 2020年第1期8卷 157-167页

作者： Han-Bo Li Jing-Fang Lv Ning Lu Zong-Shun Lv Department of General Surgery Tianjin General Surgery InstituteTianjin Medical University General HospitalTianjin 300052China Department of Plastic Surgery Plastic Surgery HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100144China Department of Gastroenterology Tianjin Medical University General HospitalTianjin 300052China

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.

关键词： Case report isolated gastrointestinal venous malformations Mechanical intestinal obstruction Pull-through transection and coloanal anastomosis Diagnosis Treatment

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