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十二指肠憩室患者的大量上消化道出血:一例病例报告及文献复习

Massive upper gastrointestinal bleeding in a patient with a duodenal diverticulum: a case report and review of the literature.

作者信息

Balkissoon J, Balkissoon B, Leffall L D, Posey D A

机构信息

Department of Surgery, Howard University, College of Medicine, Washington, DC.

出版信息

J Natl Med Assoc. 1992 Apr;84(4):365-7.

PMID:1507252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2637690/
Abstract

Diverticula of the duodenum occur in approximately 2% to 5% of individuals who have had upper gastrointestinal (GI) series; the majority of these patients are asymptomatic. These diverticula occasionally result in the obstruction of the biliary and pancreatic ducts, which leads to jaundice and pancreatitis. Other complications such as hemorrhage, perforation, sepsis, and death can occur. This article reports a case of upper GI bleeding in a patient who was found to have duodenal diverticula by upper GI series and endoscopy. Diverticulectomy was performed, and microscopic examination of the specimen showed dilated blood vessel suggestive of angiodysplasia.

摘要

十二指肠憩室在接受上消化道(GI)造影检查的个体中发生率约为2%至5%;这些患者大多数无症状。这些憩室偶尔会导致胆管和胰管梗阻,进而引发黄疸和胰腺炎。还可能发生其他并发症,如出血、穿孔、败血症和死亡。本文报告了一例上消化道出血患者,该患者经上消化道造影和内镜检查发现有十二指肠憩室。实施了憩室切除术,对标本进行显微镜检查显示血管扩张,提示血管发育异常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/469f/2637690/8affc4ddcfa6/jnma00862-0059-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/469f/2637690/dac45829ff9d/jnma00862-0058-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/469f/2637690/7b501d4ab361/jnma00862-0058-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/469f/2637690/8affc4ddcfa6/jnma00862-0059-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/469f/2637690/dac45829ff9d/jnma00862-0058-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/469f/2637690/7b501d4ab361/jnma00862-0058-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/469f/2637690/8affc4ddcfa6/jnma00862-0059-a.jpg

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Massive upper gastrointestinal bleeding in a patient with a duodenal diverticulum: a case report and review of the literature.十二指肠憩室患者的大量上消化道出血:一例病例报告及文献复习
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Medicine (Baltimore). 2020 Jul 2;99(27):e21111. doi: 10.1097/MD.0000000000021111.
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Two Cases of Bleeding Angiodysplasias Within Duodenal Diverticulum.

本文引用的文献

1
The continuing clinical enigma of duodenal diverticulum.
Am J Surg. 1981 Nov;142(5):596-600. doi: 10.1016/0002-9610(81)90434-7.
2
Congenital duodenal diverticula: a report of three cases and a review of the literature.先天性十二指肠憩室:三例报告并文献复习
Surgery. 1988 Jul;104(1):74-8.
十二指肠憩室内出血性血管发育异常两例
ACG Case Rep J. 2019 Mar 6;6(3):e00027. doi: 10.14309/crj.0000000000000027. eCollection 2019 Mar.
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Surgical Management of Symptomatic Intraluminal Duodenal Diverticulum in an Adolescent.一名青少年有症状的腔内十二指肠憩室的外科治疗
Glob Pediatr Health. 2018 Feb 5;5:2333794X18755240. doi: 10.1177/2333794X18755240. eCollection 2018.
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Arterial supply to the bleeding diverticulum in the ascending duodenum treated by transcatheter arterial embolization- a duodenal artery branched from the inferior pancreaticoduodenal artery.经导管动脉栓塞术治疗十二指肠升部出血性憩室的动脉供血——一支从胰十二指肠下动脉分出的十二指肠动脉。
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Active gastrointestinal diverticulum bleeding diagnosed by computed tomography angiography.通过计算机断层血管造影诊断的活动性胃肠道憩室出血
World J Gastroenterol. 2014 Oct 7;20(37):13620-4. doi: 10.3748/wjg.v20.i37.13620.
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Robot-assisted subtotal pancreas-preserving duodenectomy.机器人辅助保留部分胰腺的十二指肠切除术
JSLS. 2012 Oct-Dec;16(4):654-9. doi: 10.4293/108680812X13517013316591.
8
Abdominal compartment syndrome from bleeding duodenal diverticulum.十二指肠憩室出血导致的腹腔间隔室综合征
J Emerg Trauma Shock. 2012 Apr;5(2):181-3. doi: 10.4103/0974-2700.96491.
9
Clinical analysis and literature review of massive duodenal diverticular bleeding.大量十二指肠憩室出血的临床分析与文献复习
World J Surg. 2001 Jul;25(7):848-55. doi: 10.1007/s00268-001-0039-y.