Gottlieb Klaus, Coff Philip, Preiksaitis Harold, Juviler Adam, Fern Peter
Endoscopic Ultrasound, Sacred Heart Medical Center, Spokane, Washington, USA.
Medscape J Med. 2008;10(9):206. Epub 2008 Sep 3.
Hemorrhoidal bleeding is common during pregnancy. Other preexisting anorectal conditions can also be exacerbated by the increased vascular volume and pelvic congestion. We present the case of a young woman who developed life-threatening rectal bleeding requiring early delivery. Through use of endorectal endoscopic ultrasonography (EUS), the condition was diagnosed as a diffuse cavernous rectal hemangioma. To our knowledge, this is the first report to present Doppler images of pulsatile flow through the cavernous hemangioma. The EUS findings are correlated with those of computed tomography (CT) and magnetic resonance imagining (MRI), and a brief discussion follows.
痔出血在孕期很常见。其他原有的肛肠疾病也会因血容量增加和盆腔充血而加重。我们报告一例年轻女性病例，其出现危及生命的直肠出血，需要提前分娩。通过使用直肠内超声内镜检查（EUS），该疾病被诊断为弥漫性海绵状直肠血管瘤。据我们所知，这是第一份展示通过海绵状血管瘤的搏动性血流多普勒图像的报告。EUS检查结果与计算机断层扫描（CT）和磁共振成像（MRI）的结果相关，并进行简要讨论。
