Year 2013 / Volume 105 / Number 4
Letter to the Editor
Hemangioendothelioma and other small bowel tumors as a cause of obscure gastrointestinal bleeding

pp. 239-240

Lucía Tortajada Laureiro, Joaquín Poza Cordón, Consuelo Froilán Torres, Silvia Gómez Senent, Eun Jin Han, Juan Pascual Turrión, Fernando Luca de Tena Díaz-Agero, Santiago Valderrábano González, Fernando Martínez Ortiz y José María Segura Cabral

Abstract
We present a 78-year-old woman with episodes of hematochezia of 4 months duration without other symptoms. She had a painful right hemiabdomen without masses at palpation, ferropenic anemia (hemoglobin 6,6 g/dL, transferrin saturation index 4 %) and normal level of carcinoembryonic antigen.
There was not any bleeding lesion in gastroscopy or colonoscopy. But the barium X-ray showed a filling contrast defect in the last ileal loop. An endoscopic capsule was performed, in which we could recognize a lesion that appeared to be submucosal, of 1 cm in size, eroded, with minimal bleeding, approxi- mately 10 minutes before the first image of the cecum.
Because of this finding, a surgical exploration was done. A 1 cm pink lesion over a pale base, was identified, 70 cm proximal to ileocecal valve. No other lesions or lymphadenopathy were found on parietal surface of the bowel, mesentery or peritoneum. A 7 cm enterectomy was performed with safety margins of 3 cm and terminal anastomosis.
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Lucía Tortajada Laureiro, Joaquín Poza Cordón, Consuelo Froilán Torres, Silvia Gómez Senent, Eun Jin Han, Juan Pascual Turrión, Fernando Luca de Tena Díaz-Agero, Santiago Valderrábano González, Fernando Martínez Ortiz y José María Segura Cabral. Hemangioendothelioma and other small bowel tumors as a cause of obscure gastrointestinal bleeding. 239-240


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