A Case of Lipoma of the Ileum Successfully Detected by Hemorrhagic Scintigraphy.

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  • 術前診断に出血シンチグラフィーが有用であった回腸脂肪腫の1例

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Abstract

A 61-year-old man was seen at the hospital because of melena and anemia. No bleeding lesions were revealed by an angiography and a colonofiber-scopy. We could find a bleeding lesion in the terminal ileum by 99mTc hemorrhagic scintigraphy. Under laparotomy, bloody fluid was observed in the entire colon and terminal ileum. We could touch a tumor in the terminal ileum. Partial resection of the ileum was performed. The pathological diagnosis of this tumor was lipoma with erosion on its mucosal surface.<br> Hemorrhagic scintigraphy can detect even minute and intermittently bleeding lesions of the gastro-intestinal tract. It is especially useful for the small intestine.

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