Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore.
Singapore Med J. 2013 Mar;54(3):e53-5. doi: 10.11622/smedj.2013058.
Lower gastrointestinal haemorrhage due to enteric fever is uncommon and potentially fatal. The majority of patients recover with conservative treatment, with surgery reserved for life-threatening bleeding. Given the advances in radiologically guided procedures, there have been numerous reports of successful embolisation for gastrointestinal haemorrhage, although few of these involved enteric fever as the causative agent. We report an uncommon case of haemorrhagic enteric fever treated successfully with embolisation using polyvinyl alcohol particles and coils.
肠伤寒引起的下消化道出血并不常见,但可能致命。大多数患者经保守治疗即可康复,手术仅用于威胁生命的出血。鉴于放射介入治疗的进步,已有许多关于胃肠道出血成功栓塞治疗的报道,尽管其中很少涉及肠伤寒作为病因。我们报告了一例罕见的出血性肠伤寒病例,成功地使用聚乙烯醇颗粒和线圈进行了栓塞治疗。