Explorative laparoscopy: resection of small bowel for vascular tumor
Epublication WebSurg.com, Dec 2011;11(12). URL: http://websurg.com/doi/vd01en3435
The management of patients with small bowel bleeding remains a diagnostic and therapeutic challenge. In about 5% of cases, upper endoscopy and colonoscopy are nondiagnostic, and the small intestine is the site of bleeding, This is the case of a 55-year-old patient admitted to the emergency department for a digestive hemorrhagic syndrome. The patient’s hemoglobin levels dropped to 6 grams per 100mL. The patient’s resuscitation allowed for the stabilization and restoration of blood volume. Gastroscopy and colonoscopy did not demonstrate any etiology of bleeding. An emergency CT-scan found a suspected lesion at the level of the small bowel with contrast medium extravasation. A video-endoscopic capsule was administered to the patient. It helped to identify the presence of a bleeding polypoid lesion on the middle portion of the jejunum. This video shows the laparoscopid resection of the lesion.