Tchantchaleishvili Vakhtang, Groth Shawn S, Leon Jorge A, Mohr William J
Department of Surgery, University of Minnesota, Minneapolis, USA.
J Emerg Trauma Shock. 2012 Apr;5(2):181-3. doi: 10.4103/0974-2700.96491.
Duodenal diverticuli are acquired false diverticuli of unknown etiology. Although mostly asymptomatic, they can occasionally cause upper gastrointestinal hemorrhage, rarely with massive bleeding. In this report, we present (to the best of our knowledge) the first reported case of duodenal diverticular bleeding, causing abdominal compartment syndrome. Albeit a rare event, duodenal diverticular bleeding should be included in the differential diagnosis of upper gastrointestinal bleeding. As with our case, a multidisciplinary approach to managing such patients is crucial.
十二指肠憩室是病因不明的后天性假性憩室。虽然大多无症状,但偶尔可引起上消化道出血,极少出现大出血。在本报告中,我们(据我们所知)首次报道了十二指肠憩室出血导致腹腔间隔室综合征的病例。尽管是罕见事件,但十二指肠憩室出血应列入上消化道出血的鉴别诊断。就像我们的病例一样,采用多学科方法管理此类患者至关重要。