Gastroenterologie
a hepatologie

An infrequent source of gastrointestinal bleeding

Jan Válek¹, Bronislava Matějovská²

+ Affiliation
¹ Endoskopické centrum, Interní oddělení, Česko-německá horská nemocnice Krkonoše, s.r.o., Vrchlabí
² Interní oddělení, Nemocnice v Semilech

Summary

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.

Keywords

balloon enteroscopy, carcinoid, gastrointestinal hemorrhage, neuroendocrine tumor

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