Mukai Motoi, Ibusuki Kazuhiko, Gotoh Takashi, Yamamoto Atsushi, Nakashima Ken, Mutoh Mitsuru, Taniguchi Shoji, Kawano Michikazu, Kihara Yasushi, Koga Kazumi
Department of Surgery, Koga General Hospital, 1749-1 Sudaki, Ikeuchi-cho, Miyazaki 880-0041, Japan.
J Laparoendosc Adv Surg Tech A. 2006 Feb;16(1):45-7. doi: 10.1089/lap.2006.16.45.
A case of chronic gastrointestinal hemorrhage caused by a small jejunal arteriovenous malformation is presented. After microcatheter and microcoil placement, the patient underwent laparoscopically assisted jejunal resection. Intraoperative localization was accomplished by combined use of methylene blue injection and contrast medium injection. Methylene blue injection demarcated the segment of bowel involved and fluoroscopy by contrast medium injection revealed the arteriovenous malformation. This technique located the arteriovenous malformation during surgery and insured adequate but not excessive bowel resection.
本文报告一例由空肠小动静脉畸形引起的慢性胃肠道出血病例。在放置微导管和微线圈后，患者接受了腹腔镜辅助空肠切除术。术中定位通过联合使用亚甲蓝注射和造影剂注射来完成。亚甲蓝注射划定了受累肠段，造影剂注射荧光透视显示了动静脉畸形。该技术在手术中定位了动静脉畸形，并确保了足够但不过度的肠切除。
