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简介:Amongthevariousdiagnosticmodalitiesforsmallbowelhemangioma,videocapsuleendoscopy(VCE)anddouble-balloonenteroscopy(BE)canberecommendedaspartofthework-upinpatientswithobscuregastrointestinalbleeding(OGIB).BEissuperiortoVCEintheaccuracyofdiagnosisandtherapeuticpotential,whileinmostcasestotalenteroscopycannotbeachievedthroughonlytheantegradeorretrogradeBEprocedures.Astreatmentforsmallbowelbleeding,especiallyspoutbleeding,localizationofthelesionforthedecisionofBEinsertionfacilitatesearlytreatment,suchasendoscopichemostaticclipping,allowingpatientstoavoiduselesstransfusionandtheworseningoftheirdiseaseintolife-threateningstatus.ApplyingendoscopicIndiainkmarkingpriortolaparoscopicsurgicalresectionisaparticularlyusefultechniqueformoreminimallyinvasivetreatment.WereporttwocasesofsmallbowelhemangiomafoundinexaminationsforOGIBthatweretreatedwithcombinationoflaparoscopicandendoscopicmodalities.
简介:Wereportacaseofcapillaryhemangiomsathatinvolvedtheentiremiddleearspace,externalauditorycanal(EAC)andtympanicantrum.Symptomsinthecaseincludedearfullness,hearingloss,otalgiaandotorrhea.Thecasewasmisdiagnosedasrecurrentchronicotitismediawithgranulationpreoperatively.Adiagnosisofcapillaryhemangiomawasestablishedbypostoperativehistologicalexamination.Themanagementofcapillaryhemangiomaofthemiddleearandexternalauditorycanalisdiscussed,withareviewoftheliterature.Becauseofitsvariableandsometimesmisleadingclinicalpresentation,hemangiomacaninitiallybemisdiagnosedasotherlesions.Therefore,ahighindexofsuspicionisnecessaryforearlyandaccuratediagnosis.
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