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十二指肠憩室出血导致的腹腔间隔室综合征

Abdominal compartment syndrome from bleeding duodenal diverticulum.

作者信息

Tchantchaleishvili Vakhtang, Groth Shawn S, Leon Jorge A, Mohr William J

机构信息

Department of Surgery, University of Minnesota, Minneapolis, USA.

出版信息

J Emerg Trauma Shock. 2012 Apr;5(2):181-3. doi: 10.4103/0974-2700.96491.

DOI:10.4103/0974-2700.96491
PMID:22787350
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3391844/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d236/3391844/f807650ae065/JETS-5-181-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d236/3391844/fbb3eb9f45ea/JETS-5-181-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d236/3391844/f807650ae065/JETS-5-181-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d236/3391844/fbb3eb9f45ea/JETS-5-181-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d236/3391844/f807650ae065/JETS-5-181-g002.jpg

相似文献

1
Abdominal compartment syndrome from bleeding duodenal diverticulum.十二指肠憩室出血导致的腹腔间隔室综合征
J Emerg Trauma Shock. 2012 Apr;5(2):181-3. doi: 10.4103/0974-2700.96491.
2
[Duodenal diverticulum in the third portion of duodenum as a cause of upper gastrointestinal bleeding and chronic abdominal pain. Case report and literature review].[十二指肠第三部十二指肠憩室作为上消化道出血和慢性腹痛的病因。病例报告及文献复习]
Cir Cir. 2008 Jan-Feb;76(1):65-9.
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Endoscopic management of duodenal diverticular bleeding.十二指肠憩室出血的内镜治疗
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Massive upper gastrointestinal bleeding originating from a fourth-stage duodenal diverticulum: a case report and review of the literature.源于四期十二指肠憩室的大量上消化道出血:一例病例报告及文献综述
Can J Surg. 1996 Dec;39(6):510-2.
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Massive upper gastrointestinal bleeding in a patient with a duodenal diverticulum: a case report and review of the literature.十二指肠憩室患者的大量上消化道出血:一例病例报告及文献复习
J Natl Med Assoc. 1992 Apr;84(4):365-7.
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Fourth-portion duodenal diverticulum causing massive upper gastrointestinal bleeding.十二指肠第四部憩室导致大量上消化道出血。
Am Surg. 2008 Jan;74(1):27-8.
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Cir Cir. 2013 Jul-Aug;81(4):340-7.
8
[Gastrointestinal hemorrhage from a duodenal diverticulum].
Minerva Chir. 1992 Dec;47(23-24):1819-21.
9
Superselective embolization for bleeding from duodenal diverticulum: a case report.十二指肠憩室出血的超选择性栓塞治疗:一例报告
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10
Active bleeding from a periampullary duodenal diverticulum that was difficult to diagnose but successfully treated using hemostatic forceps: a case report.一例壶腹周围十二指肠憩室活动性出血病例报告:诊断困难但使用止血钳成功治疗
J Med Case Rep. 2012 Oct 26;6:367. doi: 10.1186/1752-1947-6-367.

本文引用的文献

1
Massive gastrointestinal haemorrhage from a duodenal diverticulum: a case report.十二指肠憩室引起的大量胃肠道出血:一例病例报告。
Cases J. 2009 Jul 2;2:6710. doi: 10.4076/1757-1626-2-6710.
2
Diagnosis and management of the symptomatic duodenal diverticulum: a case series and a short review of the literature.有症状十二指肠憩室的诊断与管理:病例系列及文献综述
J Gastrointest Surg. 2008 Sep;12(9):1571-6. doi: 10.1007/s11605-008-0549-0. Epub 2008 Jun 3.
3
Fourth-portion duodenal diverticulum causing massive upper gastrointestinal bleeding.
十二指肠第四部憩室导致大量上消化道出血。
Am Surg. 2008 Jan;74(1):27-8.
4
Massive recurrent hemorrhage due to duodenal diverticulum--role of tattooing and suture plication.十二指肠憩室导致的大量反复出血——纹身和缝合折叠术的作用
Indian J Gastroenterol. 2007 Jan-Feb;26(1):43-4.
5
Massive bleeding from duodenal diverticulum.十二指肠憩室大量出血。
Indian J Gastroenterol. 2002 Jan-Feb;21(1):32.
6
Clinical analysis and literature review of massive duodenal diverticular bleeding.大量十二指肠憩室出血的临床分析与文献复习
World J Surg. 2001 Jul;25(7):848-55. doi: 10.1007/s00268-001-0039-y.
7
Multiple duodeno-jejunal diverticula causing massive intestinal bleeding.多发性十二指肠空肠憩室导致大量肠道出血。
J Gastroenterol. 2000;35(2):159-62. doi: 10.1007/s005350050030.
8
Duodenal diverticulum as a cause of massive gastrointestinal bleeding.十二指肠憩室作为大量胃肠道出血的一个原因。
J R Soc Med. 1999 May;92(5):254-5. doi: 10.1177/014107689909200514.
9
The duodenal diverticulum: an exceptional site of massive bleeding.十二指肠憩室:大量出血的罕见部位。
Hepatogastroenterology. 1998 Mar-Apr;45(20):603-5.
10
Massive upper gastrointestinal bleeding originating from a fourth-stage duodenal diverticulum: a case report and review of the literature.源于四期十二指肠憩室的大量上消化道出血:一例病例报告及文献综述
Can J Surg. 1996 Dec;39(6):510-2.