[回肠脂肪瘤所致下消化道出血。对比增强螺旋CT的诊断作用]

[Lower gastrointestinal bleeding due to ileal lipoma. Diagnosis contribution of contrast enhanced helical CT].

作者信息

Gourcerol Guillaume, Hervé Sophie, Goria Odile, Thoumas Denis, Koning Edith, Le Pessot Françoise, Ducrotté Philippe

机构信息

Département d'Hépato-Gastroentérologie, Hôpital Charles Nicolle, 76031 Rouen Cedex.

出版信息

Gastroenterol Clin Biol. 2004 Feb;28(2):185-7. doi: 10.1016/s0399-8320(04)94874-9.

DOI:10.1016/s0399-8320(04)94874-9

PMID:15060464

Abstract

Jejunoileal gastrointestinal hemorrhage is uncommon and difficult to diagnose. Ileal lipoma is an unusual cause of jejunoileal bleeding. We report the case of a 45-Year-old patient admitted for acute gastrointestinal bleeding. The patient was taking aspirin at admission. A bleeding intussuscepted ileal lipoma was localized with a contrast enhanced helical computed tomography. This diagnosis was confirmed by laparotomy.

摘要

空回肠消化道出血并不常见且难以诊断。回肠脂肪瘤是导致空回肠出血的罕见原因。我们报告一例因急性消化道出血入院的45岁患者。该患者入院时正在服用阿司匹林。通过对比增强螺旋计算机断层扫描定位了一个套叠的出血性回肠脂肪瘤。剖腹手术证实了这一诊断。