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阑尾出血——下消化道出血的一个不常见病因。

Appendiceal hemorrhage -- an uncommon cause of lower gastrointestinal bleeding.

机构信息

Department of General Surgery, Chiayi Christian Hospital, Chiayi, Taiwan, ROC.

出版信息

J Chin Med Assoc. 2011 Jun;74(6):277-9. doi: 10.1016/j.jcma.2011.04.009. Epub 2011 May 13.

Abstract

Lower gastrointestinal bleeding is a common disease among elderly patients. The common sources of lower gastrointestinal bleeding include vascular disease, Crohn's disease, neoplasms, inflammatory bowel disease, hemorrhoids, and ischemic colitis. Lower gastrointestinal bleeding arising from the appendix is an extremely rare condition. We report a case of appendiceal hemorrhage in a young male. Diagnosis was made by multidetector computerized tomography during survey for hematochezia. The patient recovered well after appendectomy. The histological finding revealed focal erosion of appendix mucosa with bleeding.

摘要

下消化道出血是老年患者的常见疾病。下消化道出血的常见病因包括血管疾病、克罗恩病、肿瘤、炎症性肠病、痔疮和缺血性结肠炎。由阑尾引起的下消化道出血是一种极为罕见的情况。我们报告一例年轻男性的阑尾出血病例。在血便检查中通过多层计算机断层扫描进行诊断。阑尾切除术后患者恢复良好。组织学检查显示阑尾黏膜有局灶性侵蚀伴出血。

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