Kopp H, Mickisch O, Manegold B C
Chirurgische Klinik, Universität Heidelberg.
Z Gastroenterol. 1992 Jun;30(6):415-7.
A pulsating arterial bleeding from a diverticulum, situated in the colon sigmoideum, was identified and stopped during video-documentation in a 70 year-old man. After injection with a solution of suprarenin, the diverticulum was turned out like a balloon into the colon and didn't show any signs of further bleeding until the patient was prepared for a semi-elective resection of the sigmoid. This case demonstrates that emergency endoscopy is an effective method for diagnosis and even therapy of massive lower intestinal bleeding which eventually has to be supplemented by radiological techniques like scintigraphy and arteriography.
在一名70岁男性的视频记录过程中，发现并止住了来自乙状结肠憩室的搏动性动脉出血。注射肾上腺素溶液后，憩室像气球一样被翻入结肠，直到患者准备进行乙状结肠半择期切除术前，均未出现进一步出血的迹象。该病例表明，急诊内镜检查是诊断甚至治疗大量下消化道出血的有效方法，最终还必须辅以闪烁扫描和动脉造影等放射学技术。
