结肠憩室出血：通过CT血管造影和介入放射学相结合实现精确定位与成功治疗

Colonic diverticular bleeding: precise localization and successful management by a combination of CT angiography and interventional radiology.

作者信息

Hizawa Kazuoki, Miura Nobutoshi, Matsumoto Takayuki, Iida Mitsuo

机构信息

Department of Gastroenterology, Kyushu Central Hospital, 3-23-1 Shiobaru, Minami-ku, Fukuoka 815-8588, Japan.

出版信息

Abdom Imaging. 2009 Nov;34(6):777-9. doi: 10.1007/s00261-008-9466-7. Epub 2008 Oct 24.

DOI:10.1007/s00261-008-9466-7

PMID:18949508

Abstract

We report a case of 50-year-old man with relapsing severe colonic diverticular bleeding. The patient required total blood transfusion of 14 units, despite fasting for bowel rest. Repeated CT, colonoscopy, and angiography could not determine the accurate bleeding site. Superselective arterial embolization could be finally achieved by precise localization on CT immediately after superior mesenteric arteriography.

摘要

我们报告一例50岁复发性严重结肠憩室出血的男性患者。尽管禁食以让肠道休息，该患者仍需要输注14单位全血。重复进行的CT、结肠镜检查和血管造影均无法确定准确的出血部位。在肠系膜上动脉造影后立即通过CT精确定位，最终成功实施了超选择性动脉栓塞术。