title: Hemorrhage from a jejunal polypoid hemangioma: single incisional laparoscopic approach.
abstract: Bleeding lesions in the small bowel are a much more significant challenge in terms of detection and treatment than those of the stomach or the large bowel, and require extensive gastrointestinal evaluation before a diagnosis can be made. The authors report the case of an 81-year-old female patient who underwent small bowel segmental resection by single incisional laparoscopic approach for distal jejunalhemangioma, which caused severe anemia. An abdominal computed tomography scan demonstrated a highly enhancing polypoid tumor in the distal ileum. During the single incisional laparoscopic exploration using a 2 cm sized skin incision, jejuno-jejunal intussusceptions and a jejunal tumor were noted. Single incisional laparoscopy was performed to assist the jejunal segmental resection. Pathologic reports confirmed the lesion to be a jejunalhemangioma. The authors report an unusual case of jejunalhemangioma caused by intussusception and gastrointestinal hemorrhage, which was treated by single incisional laparoscopic surgery.
authors: Department of Surgery, The Catholic University of Korea School of Medicine, Seoul, Korea.
authors: Bong Hyeon
authors: BH
authors: Kye
authors: Soo Hong
authors: SH
authors: Kim
authors: Jae Im
authors: JI
authors: Lee
authors: Jun Gi
authors: JG
authors: Kim
authors: Seong Taek
authors: ST
authors: Oh
authors: Won Kyung
authors: WK
authors: Kang
authors: Chan Kwon
authors: CK
authors: Jung