Kim Jae Hak, Kim Won Ho, Choi Chang Hwan, Choi Suk Hoon, Jeon Tae Joo, Kim Tae Il, Kim Nam Kyu, Kim Ho Geun
Department of Internal Medicine, Yonsei University College of Medicine, Seodaemun-gu, Seoul, Korea.
Korean J Gastroenterol. 2003 Jul;42(1):77-80.
Arterioenteric fistula is rare but can cause life-threatening bleeding. A case of Crohn's disease with severe gastrointestinal hemorrhage caused by iliac arterioenteric fistula is presented. A 36-year-old male with Crohn's disease was admitted because of massive lower gastrointestinal bleeding, which required transfusion of 16 units of packed RBCs over 2 days. Radioisotope RBC scan revealed intestinal bleeding directly from the right iliac artery. Emergent operation confirmed iliac arterioenteric fistulae with active bleeding, There was no further intestinal bleeding after surgery. Remission had been maintained for 3 years with mesalazine.
动脉肠瘘罕见但可导致危及生命的出血。本文报告一例由髂动脉肠瘘引起严重胃肠道出血的克罗恩病病例。一名36岁克罗恩病男性因大量下消化道出血入院，在2天内需要输注16单位浓缩红细胞。放射性核素红细胞扫描显示肠道出血直接来自右髂动脉。急诊手术证实为髂动脉肠瘘伴活动性出血，术后未再出现肠道出血。使用美沙拉嗪维持缓解状态3年。
