DIGESTIVE HEMORRHAGE FROM JEJUNOILEAL TUM ORS

Between January-73 and February-92 twelve patients with digestive hemo rrhage due to primary jejunoileal tumors were treated. Eight cases had rectal bleeding and four chronic gastrointestinal hemorrhage as first clinical manifestation. Patients underwent upper endoscopy, colonosco py and barium enema. Three out of nine barium meals (33%), two out of four ultrasonographies (50%) and eight out of nine arteriographies (89 %) were abnormal. The barium meals showed submucosal lesions on two oc asions and a jejunal luminal mass. The ultrasonography detected two in trabdominal masses. All arteriographies, except one with extravased in testinal contrast and other which showed a hypovascular zone, depicted homogeneous hypervascular images. All patients were operated on. Seve n segmental enterectomies, four limited resections and a polipectomy w ere performed. Seven tumours were found in the jejunum, three in the j ejunoleum and two in the ileum. There were four leiomyosarcomas, three leiomyomas, two polyps, one leiomyoblastoma, one adenocarcinoma and o ne lymphoma. Rebleeding and mortality were absent.