Unusual Giant Arteriovenous Malformation in Jejunum: A Case Report

DongJa Kim, J. Goo
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Abstract

Polypoid or tumorous arteriovenous malformation (AVM) of small intestine is rare and can be misdiagnosed as other tumorous conditions. We experienced a rare case of giant jejunal AVM in a 15-year-old boy, who complained of intense abdominal pain. Ultrasonography and contrast-enhanced CT revealed a 13.5-cm-sized multiseptated cystic mass arising in small intestine, which was mimicking submucosal tumor. It was successfully treated by surgical resection. The specimen showed a multilobulated outbulging submucosal mass in jejunum. Histopathologic evalulation confirmed AVM located in the submucosa, muscularis propria and subserosa. This case is the largest AVM of small intestine among which has ever been reported.
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空肠异常巨大动静脉畸形1例
小肠息肉样或肿瘤性动静脉畸形(AVM)是罕见的,可误诊为其他肿瘤条件。我们经历了一个罕见的病例巨大空肠AVM在一个15岁的男孩,谁抱怨强烈的腹痛。超声及增强CT示小肠内一13.5 cm大小的多隔性囊性肿块,似粘膜下肿瘤。经手术切除成功治疗。标本显示空肠黏膜下多分叶膨出肿块。组织病理学检查证实AVM位于粘膜下、固有肌层和浆膜下。本病例是迄今为止报道的最大的小肠AVM。
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