--- a
+++ b/processing/MACCROBAT/26444414.txt
@@ -0,0 +1,11 @@
+A 58-year-old man had been suffering from general fatigue and severe anemia for several months.
+His hemoglobin levels were 6.6 g/dl (normal range: 12–16 g/dl).
+He had no medical history and did not take any medicine.
+Esophagogastroduodenoscopy and colonoscopy did not reveal any significant bleeding.
+Abdominal computer tomography revealed a 2-cm hypervascular tumor in the small intestine (Fig.1).
+Oral DBE detected a 2-cm-diameter reddish, submucosal tumor-like lesion with surface ulceration in the jejunum, approximately 20 cm away from the Treitz ligament (Fig.2).
+We did not perform biopsy because it can be difficult to stop bleeding in the case of hypervascular lesions.
+Under the diagnosis of a small bowel tumor, gastrointestinal stromal tumor (GIST), malignant lymphoma, or cancer, we performed laparoscopic-assisted segmental resection of the jejunum with the dissection of lymph nodes.
+Examination of the resected tumor showed that it measured 19 × 16 mm in diameter (Fig.3).
+Histology revealed the proliferation of blood capillaries and granulation tissue, which was consistent with PG (Fig.4).
+The patient was discharged on postoperative day 9 without complication and his anemia improved gradually without the need for oral iron after surgery.