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患者女，69岁，因气短，心悸12年，黑便6年入院。患者于12年前起自觉活动后心悸、气短，无胸痛、晕厥或意识丧失，自觉大便无异常。当地医院测血常规Hb80-110g/L，未予特殊诊治。6年前服中药后出现成形黑便，4~6次/d，量多，偶有暗红色血便，无腹部不适或呕血。1998年起在当地医院多次住院治疗，查大便潜血(十)，Hb50~60g/L(小细胞低色素性贫血)。反复胃镜及结肠镜检查无异常发现，血管造影未见出血灶。2001年5月行剖腹探查术，并同时行术中内镜，见回肠末端23cm以下包括回盲瓣肠勃膜多发米粒样息肉伴血管扩张，遂行末段回肠及右半结肠切除十幽门成形术。
Female patient, 69 years old, due to shortness of breath, palpitations 12 years, 6 years admitted to the hospital. Patients 12 years ago after conscious activity palpitations, shortness of breath, no chest pain, syncope or loss of consciousness, consciously no abnormal stool. Local hospital blood test routine Hb80-110g / L, no special diagnosis and treatment. 6 years ago after taking Chinese medicine forming melena, 4 to 6 times / d, quantity, occasionally dark red bloody stool, no abdominal discomfort or vomiting blood. Since 1998 many hospitalized in the local hospital for treatment of stool occult blood (X), Hb50 ~ 60g / L (small cell hypochromic anemia). Repeated gastroscopy and colonoscopy found no abnormalities, angiography no hemorrhage. May 2001 laparotomy exploration, and at the same time intraoperative endoscopy, see the end of the ileum, including the following 23cm, including ileocecal valve pleural multiple rice-like polyp with vasodilation, and then the terminal ileum and right colonectomy ten pyloroplasty .