SMALL BOWEL TUMOR COMPLICATED WITH BLEEDING

Authors

  • Megreladze A. მეგრელაძე ა.
  • Tomadze G. თომაძე გ.
  • Azmaiparashvili G. აზმაიფარაშვილი გ.
  • Ardia E. არდია ე.

DOI:

https://doi.org/10.52340/csw.2016.50.0.79-81

Keywords:

No Keywords

Abstract

Gastro-intestinal bleeding in abdominal emergency surgery is one of the difficult problems, mainly when the reason and localization of bleeding site is unknown.  More difficult is when the bleeding is from small bowel (5-10% of all GI bleedings). The difficulty is  determined by fact, that evaluation of small bowel by endoscopy is impossible and therefore it is named as “dark continent of the GI tract”. In majority  of cases the diagnosis of bleeding from small bowel is made intraoperatively.  We describe one case of bleeding from small bowel: 81year- old man, who admitted to our emergency department because of profuse GI bleeding. Endoscopic evaluation didn’t reveal any reason of bleeding, therefore patient was operated urgently. During the operation small bowel tumor complicated with bleeding has been  found. Small bowel resection with primary anastomosis performed. Patient was discharged on 5th postoperative day without complications.   Histology revealed neuro-endocrine carcinoma. According to the literature the reason of GI bleeding is unknown in 5% of cases. Therefore we should suspect small bowel, as bleeding site, even if patient has ulcer in stomach or duodenum which doesn’t bleed.

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References

Рак тонкой кишки. http://www.gastroscan.ru/patient/disease/13/cancer-intestine/

Опухоль тонкой кишки. http://www.eurolab.ua/ digestive-disorders/3502/3503/29325/

Katz LB The role of surgery in occult gastrointestinal bleeding. Semin Gastrointest Dis 1999;10:78-81.

А. Курыгина, Ю. Стойко, С. Багненко Острые тонкокишечные кровотечения. https://medactiv.ru/ ygastro/gastro-010021.shtml

John R. Saltzman, MD, FACG, and Anne C. Travis, MD, MSc, FACG, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA – Updated February 2009. Updated December ard S. Tilson, MD, Gastroenterology Consultants of Greater Lowell, North Chelmsford, MA – Published June 2004 .

Schwartz GD, Barkin JS Small bowel tumours. Gastrointest Endosc Clin N Am 2006;16:267-75.

Kornbluth A, Waye JD. Small bowel tumours: Yield of enteroscopy. Gut 1991;32:763-65.

Matta E, Chinea B,et al Malignant tumours of the small intestine. J Clin Gastroenterol 2003;37:372-80.

Neugut AI,Jacobson JS, Suh S, et al. The epidemiology of cancer of the small bowel Cancer Epidemiol Biomarkers Prev 1999;7:243-51.

Modlin IM, Sandor A. An analysis of 8305 cases of carcinoid tumor. Cancer 1997;79:813-29.

Желудочно - кишечное кровотечение неясной этиологии. http://lekmed.ru/info/diagnoz/zheludochno - kishechnoe-krovotechenie - neyasnoyetiologii.html

Фирсова Л.Д., Машарова А.А., Бордин Д.С., Янова О.Б. Заболевания желудка и двенад¬цатиперстной кишки // - М: Планида. - 2011. - 52 С..

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Published

2021-06-18

How to Cite

მეგრელაძე ა. M. A., თომაძე გ. T. G., აზმაიფარაშვილი გ. A. G., & არდია ე. A. E. (2021). SMALL BOWEL TUMOR COMPLICATED WITH BLEEDING. TSMU COLLECTION OF SCIENTIFIC WORKS, 50, 79–81. https://doi.org/10.52340/csw.2016.50.0.79-81

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