期刊
JOURNAL OF MINIMAL ACCESS SURGERY
卷 17, 期 1, 页码 104-107出版社
WOLTERS KLUWER MEDKNOW PUBLICATIONS
DOI: 10.4103/jmas.JMAS_6_20
关键词
Capsule endoscopy; intraoperative balloon-assisted enteroscopy; lesions missed by capsule endoscopy; minimally invasive surgery; multiple neuroendocrine tumours; obscure gastrointestinal bleeding
类别
Jejunoileal neuroendocrine tumours (NETs) are often multifocal and a common cause of obscure gastrointestinal bleeding (OGIB). This case report highlights the discrepancy between pre-operative imaging and capsule endoscopy in detecting multiple lesions, leading to the use of intraoperative balloon-assisted enteroscopy (BAE) for accurate diagnosis and resection of the bleeding lesions.
Jejunoileal neuroendocrine tumours (NETs) are frequently multifocal and represent a consistent source of obscure gastrointestinal bleeding (OGIB). We report the real-life case of a female presenting to our attention for severe episodes of haematochezia caused by multiple localisation of jejunoileal NETs. A discrepancy between pre-operative total body contrast-enhancement computed tomography scan and capsule endoscopy (CE) emerged, in terms of numbers of lesions, so that, as completeness, an intraoperative balloon-assisted enteroscopy (BAE) was carried out, leading to the detection of the multiple lesions missed during CE. In case of obscure gastrointestinal bleeding sources missed by capsule endoscopy, laparoscopic-assisted balloon enteroscopy plays an essential role, allowing both to assess a precise diagnosis and to resect the intestinal bleeding tract.
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