Affiliation:
1. State Budgetary Institution of Health Care “Region Clinic Hospital Nr 2” Health Ministry of Krasnodar Region
2. State Budgetary Institution of Health Care “Region Clinic Hospital Nr 2” Health Ministry of Krasnodar Region; Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” Health Ministry of Russian Federation
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.
Publisher
LLC Global Media Technology
Subject
Gastroenterology,Hepatology
Reference5 articles.
1. Zemlyanoy V.P., Klimov S. E., Sigua B. V., Kozobin A. A., Kozlovskaya M. G. Rare case of bleeding from acute ulcers of the small intestinal.Russian Sklifosovsky Journal “Emergency Medical Care”. 2016;(4):84-86. (In Russ.)@@ Zemlyanoi V. P., Klimov S. E., Sigua B. V., Kozobin A. A., Kozlovskaya M. G. Redkii sluchai krovotecheniya iz ostrykh yazv kul'ti tonkoi kishki. Zhurnal im. N. V. Sklifosovskogo «Neotlozhnaya meditsinskaya pomoshch'». 2016;(4):84-86.
2. Kashschenko V. A., Nakatis Y. A., Lodygin A. V., et al. Diagnosis and management of gastrointestinal bleeding from angiodisplastic lesions. Grekov’s Bulletin of Surgery. 2018;177(2):91-94. (In Russ.) doi:10.24884/0042-4625-2018-177-2-91-94@@ Kashchenko V. A., Nakatis Ya. A., Lodygin A. V. i soavt. Krovotecheniya iz ochagov angiodisplazii zheludochno-kishechnogo trakta: diagnostika i lechenie // Vestnik khirurgii. - 2018. -T. 177, № 2. - S. 91-92.
3. Kashchenko V. A., Raspereza D. V., Akimov V. P. Videocapsular endoscopy in the diagnosis of gastrointestinal bleeding. news of surgery. 2013. No 01.@@ Kashchenko V. A., Raspereza D. V., Akimov V. P. Videokapsul'naya endoskopiya v diagnostike zheludochno-kishechnykh krovotechenii // Novosti khirurgii. -2013. № 1.
4. Ivanova E. V., Tikhomirova E. V., Larichev S. E., et al. Ulcers thin-intestinal anastomosis as the source of bleeding in patients with resection of the small intestine in history. Experimental and Clinical Gastroenterology. 2018;152(4): 30-36. (in Russ.) @@ Ivanova E. V., Tikhomirova E. V., Larichev S. E., i dr. Yazvy tonko-tonkokishechnykh anastomozov kak istochnik krovotecheniya u patsientov s rezektsiei tonkoi kishki v anamneze. Eksperimental'naya i klinicheskaya gastroenterologiya. -2018. № 4. -S.30-36.
5. Jackson C. S., Strong R. Gastrointestinal angiodysplasia diagnosis and management. Gastrointestinal endoscopy clin. North America. 2017;27(1):52-56