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Inicio Cirugía Española (English Edition) Use of Arteriography and Methylene Blue Tattoo for the Diagnosis of a Jejunal St...
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Vol. 92. Issue 5.
Pages 362 (May 2014)
Vol. 92. Issue 5.
Pages 362 (May 2014)
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DOI: 10.1016/j.cireng.2013.07.026
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Use of Arteriography and Methylene Blue Tattoo for the Diagnosis of a Jejunal Stromal Tumour
Utilidad de la arteriografía y marcaje con azul de metileno para el diagnóstico de tumor estromal en yeyuno
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María D. Balsalobre Salmeron??
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mariadolores.balsalobre2@um.es

Corresponding author.
, Francisco Javier Espinosa, María Aránzazu García Lopez, Nuria María Torregrosa Perez
Servicio de Cirugía General y Aparato digestivo, Complejo Universitario Santa Lucia, Cartagena, Murcia, Spain
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A 26-year-old male was referred to our department due to recurring melena. He was hemodynamically stable, with a hemoglobin of 6, and required transfusion of 4 units of concentrated red blood cells. Gastroscopy and colonoscopy were normal.

On arteriography, in the jejunum we observed an area of hyper-intensity measuring 3cm. This was an area of hypertrophic blood vessels (Fig. 1) with no active bleeding, compatible with a vascular malformation or tumor process.

Fig. 1
(0.1MB).

The region was marked with methylene blue in order to guide the surgical resection. During surgery, a tumor was found in the stained proximal jejunum and also a Meckel's diverticulum. The tumor and diverticulum were resected (Fig. 2). The pathology study reported the surgical specimen to be a low-grade gastrointestinal stromal tumor (pT2).

Fig. 2
(0.18MB).

Please cite this article as: Balsalobre Salmeron MD, Espinosa FJ, García Lopez MA, Torregrosa Perez NM. Utilidad de la arteriografía y marcaje con azul de metileno para el diagnóstico de tumor estromal en yeyuno. Cir Esp. 2014;92:362.

Copyright © 2013. AEC
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