TY - JOUR
T1 - Small bowel capsule endoscopy revealing neuromuscular and vascular hamartoma of the jejunum
T2 - A case report
AU - Caruso, Maria L
AU - Cavalcanti, Elisabetta
AU - De Michele, Francesco
AU - Ignazzi, Antonia
AU - Carullo, Roberta
AU - Mastronardi, Mauro
PY - 2018/4
Y1 - 2018/4
N2 - RATIONALE: Digestive hemorrhage is a life-threatening and represents for both clinicians and patient a challenger problematic condition with the urgencies to discover the origin for correct the cause and safe the life of patient.PATIENT CONCERNS: We report the case of a 58 -year-old man with extremely rare hamartomatous neurovascular lesion. Following recurrent episode of intestinal hemorrhage the patient underwent small bowel capsule endoscopy.DIAGNOSES: Diagnosed with small intestine neoplasia.INTERVENTIONS: The patient underwent curative small bowel resection. Histologic diagnosis was neuromuscular and vascular hamartoma (NMVH). In the small intestine, neoplastic lesions are very rare (2%) and mostly malformative while the more frequent cause of cryptic digestive hemorrhage remains angiodysplasia (50%) . The preexisting NMVH was exacerbated by the use of non-steroidal anti-inflammatory drugs, causing hemorrhage due to diffuse ulceration.OUTCOMES: The patient stay healthy after treatment.LESSONS: This is an hemorrhagic lesion with macroscopic "neoplastic" patterns due to abnormal mixing of normal indigenous tissue components. It poses a diagnostic challenge for clinicians and pathologists, but diagnosis is facilitated by capsule endoscopy and surgical treatment should provide definitive resolution.
AB - RATIONALE: Digestive hemorrhage is a life-threatening and represents for both clinicians and patient a challenger problematic condition with the urgencies to discover the origin for correct the cause and safe the life of patient.PATIENT CONCERNS: We report the case of a 58 -year-old man with extremely rare hamartomatous neurovascular lesion. Following recurrent episode of intestinal hemorrhage the patient underwent small bowel capsule endoscopy.DIAGNOSES: Diagnosed with small intestine neoplasia.INTERVENTIONS: The patient underwent curative small bowel resection. Histologic diagnosis was neuromuscular and vascular hamartoma (NMVH). In the small intestine, neoplastic lesions are very rare (2%) and mostly malformative while the more frequent cause of cryptic digestive hemorrhage remains angiodysplasia (50%) . The preexisting NMVH was exacerbated by the use of non-steroidal anti-inflammatory drugs, causing hemorrhage due to diffuse ulceration.OUTCOMES: The patient stay healthy after treatment.LESSONS: This is an hemorrhagic lesion with macroscopic "neoplastic" patterns due to abnormal mixing of normal indigenous tissue components. It poses a diagnostic challenge for clinicians and pathologists, but diagnosis is facilitated by capsule endoscopy and surgical treatment should provide definitive resolution.
KW - Capsule Endoscopy/methods
KW - Diagnosis, Differential
KW - Digestive System Surgical Procedures/methods
KW - Dissection/methods
KW - Gastrointestinal Hemorrhage/diagnosis
KW - Hamartoma/complications
KW - Humans
KW - Intestinal Neoplasms/complications
KW - Jejunum/blood supply
KW - Male
KW - Middle Aged
KW - Recurrence
KW - Treatment Outcome
U2 - 10.1097/MD.0000000000010196
DO - 10.1097/MD.0000000000010196
M3 - Article
C2 - 29642143
VL - 97
SP - e0196
JO - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries
JF - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries
SN - 0025-7974
IS - 15
ER -