Vascular malformation of ileum

A. T. Kortieva, V. S. Krushelnitskiy, S. A. Gabriel, V. Yu. Dynko, A. Ya. Guchetl, E. S. Babenko
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Abstract

The aim of the study is to observe a patient with vascular malformation of the ileum complicated by recurrent bleeding. Materials and methods: the article presents a clinical case of small intestine bleeding from ileum angiectasia in a 64-year-old patient. At the patient's place of residence, a video capsule endoscopy of the gastrointestinal tract was performed, angiectasia of the ileum was detected, from which fresh blood was received. Upon admission, the patient has iron deficiency anemia, and hematocheesia. In our institution, the patient underwent diagnostic egophagogastroduodenoscopy, video colonoscopy, balloon-assisted enteroscopy (BAE). According to BAE, vascular malformation with a diameter of up to 10 mm is viuzalized in the ileum Results: The patient underwent endoscopic treatment: one endoclypse was applied to the identified vascular malformation. Conclusion: The capabilities of clinicians in the differential diagnosis of pathological conditions of the small intestine are enhanced by the availability of modern equipment in medical and preventive institutions, as well as to perform minimally invasive treatment, reducing the rehabilitation time due to the reduction of surgical trauma.
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回肠血管畸形
本研究的目的是观察一例回肠血管畸形并发复发性出血的病人。材料与方法:本文报道一例64岁回肠血管扩张引起小肠出血的临床病例。在患者居住地,对胃肠道进行视频胶囊内窥镜检查,发现回肠血管扩张,并从中吸取新鲜血液。入院时,患者有缺铁性贫血和血性。在本院,患者接受了诊断性胃十二指肠镜、视频结肠镜、球囊辅助肠镜检查(BAE)。根据BAE,在回肠内可见直径达10mm的血管畸形。结果:患者接受了内镜治疗,对发现的血管畸形进行了一次内翻。结论:医疗和预防机构现代化设备的普及,提高了临床医生对小肠病理状况的鉴别诊断能力,以及进行微创治疗的能力,减少了手术创伤,缩短了康复时间。
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