Franke C, Grust A, Frieling T, Simon D
Klinik für Allgemeine und Unfallchirurgie, Heinrich-Heine-Universität, Düsseldorf.
Zentralbl Chir. 2001 Sep;126(9):707-9. doi: 10.1055/s-2001-18237.
In this case report the diagnostic difficulties of massive intestinal hemorrhage caused by diverticula of the small intestine are demonstrated. After resuscitation of the patient by transfusion of 8 units of packed red cells the segment of the jejunum bearing the diverticula was resected. There was no complication until discharge nor was any recurrent bleeding or functional disorder of the bowel reported during follow-up. The clinical presentation, the different value of diagnostic tools and the therapy are discussed.
在本病例报告中,展示了小肠憩室引起的大量肠道出血的诊断困难。在给患者输注8单位浓缩红细胞进行复苏后,切除了带有憩室的空肠段。出院前无并发症,随访期间也未报告有复发性出血或肠道功能障碍。讨论了临床表现、诊断工具的不同价值及治疗方法。