Al-Amin Azzam, Cowley Richard, Scott Nigel
Department of Vascular Surgery, Royal Blackburn Hospital, Blackburn, UK.
BMJ Case Rep. 2011 Jul 20;2011:bcr0520114255. doi: 10.1136/bcr.05.2011.4255.
The authors present a case of a 75-year-old man who underwent 2 months of radiotherapy for prostate cancer. He developed rectal bleeding 6 months later. A colonoscopy showed radiation proctitis with no other abnormalities up to the caecum. He was treated with a variety of medical therapies and argon beam laser with minimal effect. He was treated with epinephrine injection after a subsequent flexible sigmoidoscopy. He required multiple blood transfusions because of the resulting anaemia. He was finally treated with topical formalin dab therapy over three sessions, after which his rectal bleeding subsided and haemoglobin levels eventually reached normal levels.
作者报告了一例75岁男性病例，该患者因前列腺癌接受了2个月的放射治疗。6个月后出现直肠出血。结肠镜检查显示为放射性直肠炎，直至盲肠均未发现其他异常。他接受了多种药物治疗和氩束激光治疗，但效果甚微。在随后的乙状结肠镜检查后，他接受了肾上腺素注射治疗。由于由此导致的贫血，他需要多次输血。他最终接受了三个疗程的局部福尔马林涂抹治疗，此后直肠出血得到缓解，血红蛋白水平最终恢复正常。
