Brasoveanu V, David L, Buga I, Popescu I
Centrul de Chirurgie Digestivă şi Transplant Hepatic, Institutul Clinic Fundeni.
Chirurgia (Bucur). 2005 Jul-Aug;100(4):369-72.
Small bowel diverticula are usually asymptomatic and rare. Digestive bleeding is a rare complication of jejunal diverticulum whose diagnosis and treatment are difficult. We report a rare case of hematochezia whose origin was a proximal jejunal diverticulum and not determined by endoscopic investigations. Bowel resection with primary anastomosis was the chosen surgical procedure. 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.
小肠憩室通常无症状且罕见。消化道出血是空肠憩室的一种罕见并发症,其诊断和治疗都很困难。我们报告一例罕见的便血病例,其病因是近端空肠憩室,内镜检查未能明确。手术选择了肠切除并一期吻合。出院前无并发症,随访期间也未报告有复发出血或肠道功能障碍。本文讨论了该病例的临床表现、不同诊断工具的价值及治疗方法。