A case of a ruptured submucosal aneurysm of the small intestine identified using double-balloon enteroscopy

Hirofumi Chiba, Katsuya Endo, Fumiyoshi Fujishima, Hideo Ohtsuka, Takeshi Naitoh, Masatake Kuroha, Tomoya Kimura, Hisashi Shiga, Yoichi Kakuta, Yoshitaka Kinouchi, Michiaki Unno, Tooru Shimosegawa

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

A 47-year-old woman was admitted to our hospital urgently with sudden-onset hematochezia. She was temporarily in a state of hemorrhagic shock. As we strongly suspected bleeding from the small intestine, peroral double-balloon enteroscopy was performed, and indicated a 2.0-cm diameter hemispheric elevated lesion in the jejunum. Moreover, a blood clot was observed at the top of the protrusion. The site was marked by injecting India ink, without taking a biopsy specimen, to avoid further hemorrhaging. Subsequently, laparoscopic partial small bowel resection was performed. On histopathological examination, the lesion was found to be a sac-like submucosal arterial aneurysm, with a diameter of 3.5 mm, comprising several small abnormal arteries. The final diagnosis was a ruptured submucosal aneurysm of the small intestine. Ruptured submucosal aneurysms are very rarely observed in the small intestine. Only a few reports have described their endoscopic findings. Our experience indicates that small bowel enteroscopy may be useful for managing ruptured submucosal aneurysms of the small intestine.

Original languageEnglish
Pages (from-to)49-54
Number of pages6
JournalClinical Journal of Gastroenterology
Volume9
Issue number2
DOIs
Publication statusPublished - 2016 Apr 1

Keywords

  • Double-balloon enteroscopy
  • Gastrointestinal hemorrhage
  • Ruptured submucosal aneurysms
  • Small intestine

ASJC Scopus subject areas

  • Gastroenterology

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