Zhang SH, Fan MW, Chen Y, Hu YB, Liu CX. Computed tomography three-dimensional reconstruction in the diagnosis of bleeding small intestinal polyps: A case report. World J Clin Cases 2024; 12(16): 2831-2836 [PMID: 38899307 DOI: 10.12998/wjcc.v12.i16.2831]
Corresponding Author of This Article
Ying-Bin Hu, MM, Department of Gastroenterology, Binzhou Medical University Hospital, No. 3 Huanghe Road, Binzhou 256600, Shandong Province, China. huyingbin@sina.com
Research Domain of This Article
Medicine, General & Internal
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 6, 2024; 12(16): 2831-2836 Published online Jun 6, 2024. doi: 10.12998/wjcc.v12.i16.2831
Computed tomography three-dimensional reconstruction in the diagnosis of bleeding small intestinal polyps: A case report
Shu-Hui Zhang, Ming-Wei Fan, Yan Chen, Ying-Bin Hu, Cheng-Xia Liu
Shu-Hui Zhang, Ming-Wei Fan, Yan Chen, Ying-Bin Hu, Cheng-Xia Liu, Department of Gastroenterology, Binzhou Medical University Hospital, Binzhou 256600, Shandong Province, China
Co-first authors: Shu-Hui Zhang and Ming-Wei Fan.
Co-corresponding authors: Ying-Bin Hu and Cheng-Xia Liu.
Author contributions: Hu YB performed the experiments; Liu CX and Chen Y discussed the data; Zhang SH and Fan MW drafted the manuscript and also took responsibility of the data analysis.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: We declare that we do not have any commercial or associate interest in connection with the work submitted.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Ying-Bin Hu, MM, Department of Gastroenterology, Binzhou Medical University Hospital, No. 3 Huanghe Road, Binzhou 256600, Shandong Province, China. huyingbin@sina.com
Received: November 18, 2023 Revised: February 15, 2024 Accepted: April 9, 2024 Published online: June 6, 2024 Processing time: 192 Days and 23.3 Hours
Abstract
BACKGROUND
Computed tomography (CT) small bowel three-dimensional (3D) reconstruction is a powerful tool for the diagnosis of small bowel disease and can clearly show the intestinal lumen and wall as well as the outside structure of the wall. The horizontal axis position can show the best adjacent intestinal tube and the lesion between the intestinal tubes, while the coronal position can show the overall view of the small bowel. The ileal end of the localization of the display of excellent, and easy to quantitative measurement of the affected intestinal segments, the sagittal position for the rectum and the pre-sacral lesions show the best, for the discovery of fistulae is also helpful. Sagittal view can show rectal and presacral lesions and is useful for fistula detection. It is suitable for the assessment of inflammatory bowel disease, such as assessment of disease severity and diagnosis and differential diagnosis of the small bowel and mesenteric space-occupying lesions as well as the judgment of small bowel obstruction points.
CASE SUMMARY
Bleeding caused by small intestinal polyps is often difficult to diagnose in clinical practice. This study reports a 29-year-old male patient who was admitted to the hospital with black stool and abdominal pain for 3 months. Using the combination of CT-3D reconstruction and capsule endoscopy, the condition was diagnosed correctly, and the polyps were removed using single-balloon enteroscopy-endoscopic retrograde cholangiopancreatography without postoperative complications.
CONCLUSION
The role of CT-3D in gastrointestinal diseases was confirmed. CT-3D can assist in the diagnosis and treatment of gastrointestinal diseases in combination with capsule endoscopy and small intestinal microscopy.
Core Tip: The computed tomography three-dimensional reconstruction can assist the capsule endoscopy-assisted single-balloon enteroscopy of the small bowel for the diagnosis and treatment of difficult-to-diagnose small bowel polyps.
