Saeed Fahad, Kalra Amandeep, Kousar Nadia, Pace Laura A, Holley Jean L
Department of Internal Medicine, University of Illinois, Urbana-Champaign, Urbana, IL, USA.
Clin Nephrol. 2012 Jan;77(1):75-8. doi: 10.5414/cn107000.
Gastrointestinal (GI) bleeding is more common in patients with chronic kidney disease and is associated with higher mortality than in the general population. Stercoral ulceration of the colon is rarely reported in the nephrology literature. We observed 2 cases of stercoral ulcer presenting as lower gastrointestinal (LGI) bleeding in patients on chronic hemodialysis. Both patients were elderly (81 and 75 years, respectively) with a history of constipation. Diagnosis of stercoral ulcer as the cause of lower GI bleeding was made using endoscopic procedures. Stercoral ulcer should be considered in cases of lower GI bleeding in chronic dialysis patients.
胃肠道出血在慢性肾脏病患者中更为常见，且与一般人群相比死亡率更高。结肠粪性溃疡在肾脏病学文献中鲜有报道。我们观察到2例慢性血液透析患者出现以低位胃肠道（LGI）出血为表现的粪性溃疡。两名患者均为老年人（分别为81岁和75岁），有便秘病史。通过内镜检查确诊粪性溃疡为低位胃肠道出血的病因。对于慢性透析患者出现低位胃肠道出血的情况，应考虑粪性溃疡。
