DIFFICULTIES AND POSSIBILITY OF PREOPERATIVE DIAGNOSIS OF TUMOR OF JEONUM COMPLICATED BY RECURRENT BLEEDING WITH SEVERE BLOOD LOSS
https://doi.org/10.25881/20728255_2024_19_1_167
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
About the Authors
Yu. G. ShapkinRussian Federation
D. V. Starchihina
Russian Federation
E. N. Matveeva
Russian Federation
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.)
Review
For citations:
Shapkin Yu.G., Starchihina D.V., Matveeva E.N. DIFFICULTIES AND POSSIBILITY OF PREOPERATIVE DIAGNOSIS OF TUMOR OF JEONUM COMPLICATED BY RECURRENT BLEEDING WITH SEVERE BLOOD LOSS. Bulletin of Pirogov National Medical & Surgical Center. 2024;19(1):167-169. (In Russ.) https://doi.org/10.25881/20728255_2024_19_1_167