Meşină C, Paşalega M, Calotă F, Comănescu Violeta, Vîlcea D, Tenea T, Mirea C, Vasile I
Clinica II Chirurgie, Spitalul Clinic Judeţean de Urgenţă Craiova, UMF Craiova.
Chirurgia (Bucur). 2006 Mar-Apr;101(2):201-4.
This paper presents the case of a male patient, 57 years old, admitted to the hospital for upper digestive bleeding revealed by melena stools. The upper digestive endoscopy has not discovered the source of bleeding. Conventional medical therapy, with hemostatics, proton pump blockers and transfusion, failed to stop the bleeding, requiring emergency surgery for stopping the bleeding. The intraoperative exploration discovered three submucosal formations with dimensions between 0,5 and 0,75 cm, who ulcerated the jejunal mucosa, situated at 20-25cm from the duodeno-jejunal angle. The pathologic report described haemorrhagic intestinal lymphangioma. The excision of the sub-mucosal haemangioma stopped the bleeding.
本文介绍了一名57岁男性患者的病例,该患者因黑便提示上消化道出血入院。上消化道内镜检查未发现出血源。采用止血剂、质子泵阻滞剂和输血的传统药物治疗未能止血,需要进行紧急手术止血。术中探查发现三个大小在0.5至0.75厘米之间的黏膜下肿物,它们使空肠黏膜溃疡,位于距十二指肠空肠角20 - 25厘米处。病理报告描述为出血性肠淋巴管瘤。切除黏膜下血管瘤后出血停止。