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乙状结肠憩室导致自发性血腹。

Spontaneous hemoperitoneum caused by a diverticulum of the sigmoid colon.

机构信息

Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.

出版信息

Int J Med Sci. 2011;8(6):467-9. doi: 10.7150/ijms.8.467. Epub 2011 Aug 3.

DOI:10.7150/ijms.8.467
PMID:21850197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3156994/
Abstract

The diverticulum of the sigmoid colon is relatively common in the gastrointestinal tract, with the majority of cases being asymptomatic. A non-traumatic hemoperitoneum secondary to colonic diverticulum is very rare. Here, we report the case of a 35-year-old woman with hemoperitoneum caused by the bleeding of the serosal vessel of the sigmoid colon diverticulum. The bleeding focus was identified and ligated, and the diverticulum was invaginated laparoscopically. No blood vessel malformation was detected.

摘要

乙状结肠憩室在胃肠道中相对常见,大多数情况下无症状。非创伤性结肠憩室引起的血性腹腔积液非常罕见。在此,我们报告一例 35 岁女性因乙状结肠憩室浆膜血管出血引起的血性腹腔积液。我们通过腹腔镜识别并结扎了出血点,并将憩室进行了内翻。未发现血管畸形。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fc/3156994/a3f8a5cb8bcb/ijmsv08p0467g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fc/3156994/793450fa4cf0/ijmsv08p0467g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fc/3156994/a3f8a5cb8bcb/ijmsv08p0467g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fc/3156994/793450fa4cf0/ijmsv08p0467g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fc/3156994/a3f8a5cb8bcb/ijmsv08p0467g02.jpg

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引用本文的文献

1
Spontaneous haemoperitoneum due to a sigmoid diverticulum.乙状结肠憩室导致的自发性腹腔积血。
BMJ Case Rep. 2014 Dec 5;2014:bcr2014207849. doi: 10.1136/bcr-2014-207849.

本文引用的文献

1
Elective laparoscopic sigmoid resection for diverticular disease has fewer complications than conventional surgery: a meta-analysis.择期腹腔镜乙状结肠切除术治疗憩室病的并发症少于传统手术:一项荟萃分析。
Am J Surg. 2010 Jul;200(1):144-61. doi: 10.1016/j.amjsurg.2009.08.021.
2
The pathology of diverticulosis: classical concepts and mucosal changes in diverticula.憩室病的病理学:经典概念及憩室的黏膜变化
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Diverticulosis coli: update on a "Western" disease.
结肠憩室病:一种“西方”疾病的最新情况
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Haemoperitoneum associated with a solitary diverticulum of the sigmoid colon.乙状结肠单发憩室伴腹腔积血。
S Afr Med J. 1961 Aug 26;35:715-6.
5
THE INTRALUMINAL PRESSURE PATTERNS IN DIVERTICULOSIS OF THE COLON. I. RESTING PATTERNS OF PRESSURE. II. THE EFFECT OF MORPHINE.结肠憩室病的腔内压力模式。I. 静息压力模式。II. 吗啡的作用。
Gut. 1964 Jun;5(3):201-13. doi: 10.1136/gut.5.3.201.
6
Increased distribution of collagen type III and reduced expression of matrix metalloproteinase 1 in patients with diverticular disease.憩室病患者中III型胶原蛋白分布增加及基质金属蛋白酶1表达降低。
Int J Colorectal Dis. 2001 Sep;16(5):271-5. doi: 10.1007/s003840100310.
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Role of nitric oxide in the left-sided colon of patients with diverticular disease.一氧化氮在憩室病患者左半结肠中的作用。
Hepatogastroenterology. 2000 May-Jun;47(33):692-6.
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The American College of Gastroenterology Bleeding Registry: preliminary findings.美国胃肠病学会出血登记处:初步研究结果。
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Ann Surg. 1994 Oct;220(4):564-8; discussion 568-9. doi: 10.1097/00000658-199410000-00014.
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Incidence, complications, and management of Meckel's diverticulum.梅克尔憩室的发病率、并发症及处理
Arch Surg. 1995 Feb;130(2):143-6. doi: 10.1001/archsurg.1995.01430020033003.