{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:57:27Z","timestamp":1785491847897,"version":"3.56.0"},"reference-count":20,"publisher":"Akademiai Kiado Zrt.","issue":"40","license":[{"start":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T00:00:00Z","timestamp":1759622400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,10,5]]},"abstract":"Az okkult em\u00e9szt\u0151rendszeri v\u00e9rz\u00e9s diagnosztiz\u00e1l\u00e1sa sokszor kih\u00edv\u00e1st jelent, mivel\n a betegek az esetek t\u00f6bbs\u00e9g\u00e9ben t\u00fcnetmentesek. A gyan\u00fa legt\u00f6bbsz\u00f6r vashi\u00e1nyos\n anaemia vagy pozit\u00edv sz\u00e9kletv\u00e9rteszt alapj\u00e1n mer\u00fcl fel. Egy 33 \u00e9ves n\u0151beteg\n m\u00e9rs\u00e9kelt fok\u00fa anaemia \u00e9s g\u00f6rcs\u00f6s hasi f\u00e1jdalom miatt ker\u00fclt kivizsg\u00e1l\u00e1sra\n klinik\u00e1nkon, gasztroszk\u00f3pia \u00e9s ileokolonoszk\u00f3pia negat\u00edv eredm\u00e9ny\u00e9vel. K\u00e9s\u0151bb\n kapszulaendoszk\u00f3pi\u00e1val kifek\u00e9lyesedett tumornak impon\u00e1l\u00f3 laesi\u00f3t tal\u00e1ltunk a\n jejunumban, amelyet gastrointestinalis stromalis tumork\u00e9nt azonos\u00edtottunk a\n jejunoszk\u00f3pia sor\u00e1n vett biopszi\u00e1s mint\u00e1b\u00f3l. A beteg \u00e1llapota romlott, v\u00e9g\u00fcl\n relat\u00edv s\u00fcrg\u0151ss\u00e9ggel laparoszk\u00f3pos v\u00e9konyb\u00e9l-reszekci\u00f3t v\u00e9gezt\u00fcnk. Eset\u00fcnk\n bemutat\u00e1sa r\u00e1vil\u00e1g\u00edt arra, hogy okkult v\u00e9rz\u00e9s eset\u00e9n gondolni kell a v\u00e9konyb\u00e9l\n malignus folyamat\u00e1ra fiatal betegek eset\u00e9n is. 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