Authors
Shapkin Yu.G., Starchihina D.V., Matveeva E.N.
Saratov State Medical University n.a. V.I. Rasumovsky, Saratov
Abstract
Recurrent gastrointestinal bleeding represents a serious problem in urgent surgery due to the difficult diagnostics of the source of bleeding and high mortality. The literature describes isolated cases of bleeding from neoplasms of the small intestine. Today in clinical practice there is not a single method that has 100% diagnostic value. A rare clinical case of preoperative diagnosis of the source of recurrent intestinal bleeding using contrast-enhanced computed tomography is reviewed. This clinical case highlights the difficulties and possibility of objective preoperative diagnosis of the source of bleeding in the jejunum, using a method that is not mandatory for this purpose, which can improve patient treatment outcomes.
Keywords: gastrointestinal bleeding, gastrointestinal stromal tumor.
References
1. Cichoz-Lach H, Kasztelan-Szczerbińska B, Słomka M. Gastrointestinal stromal tumors: epidemiology, clinical picture, diagnosis, prognosis and treatment. Pol. Arch. Med. Wewn. 2008; 118(4): 216-221.
2. Fletcher CD, Berman JJ, Corless C, et al. Diagnosis of gastrointestinal stromal tumors: A consensus approach. Hum. Pathol. 2002; 33: 459-465.
3. Gastrointestinal stromal tumors (diagnosis, treatment): Practical recommendations. М., 2008. 53 р. (In Russ.)
4. Fedorov ED, Ivanova EV, Yudin OI, Timofeev ME. Methodological aspects of the use of single-balloon enteroscopy in clinical practice. SPb: Endo. 2009. Р.18. (In Russ.)
5. Frankis R, Lewis BS, Mishkin DS. Capsule endoscopy in clear language. Fedorova ED, Ivanova EV. M.: Practical medicine; 2012. (In Russ.)