Mashimo Masayuki, Hara Junichi, Nitta Atsunori, Oohira Mizuki, Yamaguchi Seiko, Yamada Shinobu, Tanaka Hajime, Higuchi Kazuhide, Arakawa Tetsuo
Department of Gastroenterology, Osaka City University Medical School.
Nihon Shokakibyo Gakkai Zasshi. 2007 Apr;104(4):561-7.
The case was a 33-year-old woman with alcoholic liver cirrhosis. Her chief complaint was melena. She had undergone the abdominal operation in the past. Upper and lower gastrointestinal endoscopy did not reveal the bleeding point in the gastrointestinal tract. We diagnosed the bleeding from the ileocecum by the hemorrhage scintigraphy, the superior mesenteric artery angiography, and CT angiography. She had varices at the terminal ileum and adhesion between the ovary and the ileum end. The subtotal resection of the ileum was performed.
该病例为一名33岁的酒精性肝硬化女性。她的主要症状是黑便。她过去曾接受过腹部手术。上、下消化道内镜检查未发现胃肠道的出血点。我们通过出血闪烁扫描、肠系膜上动脉血管造影和CT血管造影诊断为回盲部出血。她在回肠末端有静脉曲张,卵巢与回肠末端粘连。进行了回肠次全切除术。