PMC6286777_01
Demonstration of the first operation at 5 years of age: multiple venous malformations on the small intestine (marked by the arrows) were seen.
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Multiple VMs were identified (Figure 1): 1 on the lesser curvature of the stomach, 7 on various parts of the small intestine, 1 on the hepatic flexure of the colon, and 1 on the liver.
Endoscopic findings of venous malformations at 19 years of age. (a) On the posterior corpus of the stomach; (b) On the sigmoid colon.
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VMs on almost the entire GI tract, including the stomach, duodenum, jejunum, ileum, and colon (Figures 2 and 3). VMs were also found in the right pleural space, hepatic hilum, liver, and spleen.
Computed tomography at 19 years of age revealed multiple VMs on almost the entire GI tract, liver, and spleen.
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VMs on almost the entire GI tract, including the stomach, duodenum, jejunum, ileum, and colon (Figures 2 and 3). VMs were also found in the right pleural space, hepatic hilum, liver, and spleen.
Demonstration of the second operation 19 years of age. (a) VM on the small intestine; (b) Lesions were exposed by intussuscepting the bowel through enterostomies; (c) Enteroscopy through the enterotomies was performed to detect the remaining lesions.
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fig4
Palpable lesions on the small intestine (Figure 4(a)) were marked with serosal sutures and were exposed by intussuscepting the bowel through enterotomies (Figure 4(b)). Intraoperative endoscopy was performed through enterotomies to detect the remaining lesions (Figure 4(c)).