An infrequent source of gastrointestinal bleeding

Czech version

Authors: J. Válek ¹; B. Matějovská ²
Authors‘ workplace: Endoskopické centrum, Interní oddělení, Česko-německá horská nemocnice Krkonoše, s. r. o., Vrchlabí ¹; Interní oddělení, Nemocnice v Semilech ²
Published in: Gastroent Hepatol 2014; 68(6): 488-491
Category: Gastrointestinal Oncology: Case Report
doi: https://doi.org/10.14735/amgh2014488

Overview

We present the case of a 62-year-old male who was admitted to our internal medicine department with a 6-day history of melena. Neither esophagogastroduodenoscopy nor colonoscopy identified the source of bleeding. After RBC transfusion, CT enterography was performed with suspicion of carcinoid. The subsequent double-balloon enteroscopy revealed multiple submucosal tumorous lesions in the ileum with no histologic proof of malignancy. Because of a strong suspicion of malignant etiology a surgical revision was performed together with perioperative enteroscopy and ileal resection. Carcinoid tumor was described on histologic examination of the resected ileum. The patient shows no signs of a relapse or generalized disease over a 6-month course of oncologic follow-up.

Key words:
neuroendocrine tumor – carcinoid tumor – gastrointestinal hemorrhage – balloon enteroscopy

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
3. 8. 2014

Accepted:
15. 9. 2014

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