Login to your account
Don’t have an account?
Create a Free AccountProcedures - Advanced imaging
Successful ex-vivo probe-based confocal laser endomicroscopy of a superficial nonampullary duodenal epithelial tumor with dripping of food additives: a case of tubular adenocarcinoma
Endoscopic qualitative diagnosis of a superficial nonampullary duodenal epithelial tumor (SNADET) is difficult. The accuracy of biopsy sampling for SNADET also is not perfect.1 At present, endoscopic diagnosis of SNADETs is still controversial, and early establishment of standards for endoscopic diagnosis is awaited. Meanwhile, probe-based confocal laser endomicroscopy (pCLE) is an innovative endoscopic technique that enables “optical biopsy” by enabling real-time imaging of biotissue by the intravenous injection of a fluorescent dye.Jejunal GI tumor using probe-based confocal laser endomicroscopy
A 63-year-old woman was admitted to our hospital with overt obscure GI bleeding (melena) and anemia (Hb, 4.8 g/dL) treated with multiple blood transfusions. She had undergone plain CT, EGD, and total colonoscopy, which revealed no bleeding sources. Her medical history included abdominal hysterectomy performed because of uterine leiomyoma. On examination, there were no abnormalities other than palpebral conjunctiva anemia. An early arterial phase contrast-enhanced multidetector CT image demonstrated a 14-mm hypervascular tumor in the intrapelvic jejunum (Fig. 1).
