Duplication cyst of the ileum presenting with severe anemia detected by double-balloon endoscopy.
Duplication cyst of the ileum presenting with severe anemia detected by double-balloon endoscopy.
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DOI：
10.1055/s-0043-125142
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发表时间：
2018-04
影响因子：
2.6
通讯作者：
Nakamoto Y
中科院分区：
文献类型：
--
作者：
Takegawa Y;Hiramatsu K;Murata Y;Akazawa Y;Saito Y;Ozaki Y;Takahashi K;Naito T;Ofuji K;Matsuda H;Ohtani M;Nemoto T;Suto H;Goi T;Imamura Y;Nakamoto Y
背景和研究目的回肠重复囊肿是一种罕见的疾病，临床表现为腹痛、呕吐、黑便和肠套叠。 因此，术前诊断困难。在此，我们报告一例小肠重复囊肿，术前使用双气囊小肠镜诊断。一位19岁男性，因严重缺铁性贫血、腹痛及劳力性呼吸困难而就诊。胃镜和结肠镜检查未发现明显异常。腹部计算机断层扫描显示回肠有囊性结构。因此，我们通过肛门途径进行双气囊小肠镜检查。肠道分叉，其中一段终止于盲囊，包含正常绒毛和溃疡。Tc-99 m高锝酸盐放射性造影显示病灶内无蓄积。 因此，我们诊断为重复囊肿，并怀疑这是严重贫血的原因。小肠切除囊肿切除吻合术后，贫血和症状消失。本报告强调了双气囊小肠镜在术前诊断不明原因消化道出血（包括重复囊肿）中的作用。
Background and study aims Duplication cysts of the ileum are rare and present with non-specific clinical manifestations such as abdominal pain, vomiting, melena, and intussusception. Therefore, preoperative diagnosis is difficult. Here, we report a case of duplication cyst of the small intestine that was diagnosed preoperatively using double-balloon enteroscopy. A 19-year-old man presented with severe iron deficiency anemia, abdominal pain, and exertional dyspnea. Gastroscopy and colonoscopy revealed no remarkable findings. Abdominal computed tomography revealed a cystic structure in the ileum. Therefore, we performed double-balloon enteroscopy via the anal route. The intestinal tract was bifurcated, with one segment ending in a blind sac containing normal villi and an ulceration. Tc-99 m pertechnetate scintigraphy showed no accumulation in the lesion. Accordingly, we diagnosed a duplication cyst and suspected that this was the cause of severe anemia. Following small bowel resection with cyst excision and anastomosis, the anemia and presenting symptoms resolved. This report highlights the usefulness of double-balloon enteroscopy of the small intestine for preoperative diagnosis of the obscure gastrointestinal bleeding, including duplication cysts .