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Polypoid arteriovenous malformation presenting with jejunojejunal intussusceptions in an adult.

Lim DH, Ahn JY, Seo M, Yun JH, Kim TH, Jung HY, Kim JH, Park YS - Clin Endosc (2014)

Bottom Line: Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy.The final diagnosis was a polypoid AVM measuring 5×3.5×3 cm.We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

ABSTRACT
Jejunal polypoid arteriovenous malformations (AVMs) and jejunojejunal intussusceptions are both rare. Here, we present the case of a 61-year-old woman who suffered intermittent episodes of abdominal pain over the course of 13 years. A computed tomography scan of her abdomen and pelvis revealed a distal jejunojejunal intussusception. A suspected low density mass was observed at the tip of the intussusception. Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy. The final diagnosis was a polypoid AVM measuring 5×3.5×3 cm. We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.

No MeSH data available.


Related in: MedlinePlus

(A, B) Macroscopic appearance of the specimen after segmental resection. A well-defined, polypoid mass can be seen in the small intestinal mucosa.
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Figure 2: (A, B) Macroscopic appearance of the specimen after segmental resection. A well-defined, polypoid mass can be seen in the small intestinal mucosa.

Mentions: The patient underwent laparoscopic small bowel resection and primary anastomosis. A polypoid mass (5×3.5×3 cm) was found within the intussusceptum (Fig. 2). Histological examination revealed a normal mucosa, but abnormal dilated arteries and veins of variable size were observed in the submucosa, which is consistent with AVM (Fig. 3). Four days after surgery, the patient was discharged without any complications. At 3 months postdischarge, she was free of symptoms with no evidence of recurrence.


Polypoid arteriovenous malformation presenting with jejunojejunal intussusceptions in an adult.

Lim DH, Ahn JY, Seo M, Yun JH, Kim TH, Jung HY, Kim JH, Park YS - Clin Endosc (2014)

(A, B) Macroscopic appearance of the specimen after segmental resection. A well-defined, polypoid mass can be seen in the small intestinal mucosa.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4260109&req=5

Figure 2: (A, B) Macroscopic appearance of the specimen after segmental resection. A well-defined, polypoid mass can be seen in the small intestinal mucosa.
Mentions: The patient underwent laparoscopic small bowel resection and primary anastomosis. A polypoid mass (5×3.5×3 cm) was found within the intussusceptum (Fig. 2). Histological examination revealed a normal mucosa, but abnormal dilated arteries and veins of variable size were observed in the submucosa, which is consistent with AVM (Fig. 3). Four days after surgery, the patient was discharged without any complications. At 3 months postdischarge, she was free of symptoms with no evidence of recurrence.

Bottom Line: Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy.The final diagnosis was a polypoid AVM measuring 5×3.5×3 cm.We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

ABSTRACT
Jejunal polypoid arteriovenous malformations (AVMs) and jejunojejunal intussusceptions are both rare. Here, we present the case of a 61-year-old woman who suffered intermittent episodes of abdominal pain over the course of 13 years. A computed tomography scan of her abdomen and pelvis revealed a distal jejunojejunal intussusception. A suspected low density mass was observed at the tip of the intussusception. Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy. The final diagnosis was a polypoid AVM measuring 5×3.5×3 cm. We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.

No MeSH data available.


Related in: MedlinePlus