Yamamoto Kenta, Kumada Takashi, Kiriyama Seiki, Tanikawa Makoto, Hisanaga Yasuhiro, Toyoda Hidenori, Kanamori Akira, Tada Toshifumi, Kitabatake Syusuke, Sone Yasuhiro
Department of Gastroenterology and Hepatology, Ogaki Municipal Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2014 Apr;111(4):773-8.
A 37-year-old Japanese man undergoing treatment for dilated cardiomyopathy was presented with weakness and melena. He had conjunctival pallor and difficulty in standing;his blood pressure was 81/62 mmHg. Abdominal computed tomography revealed contrast dye leakage into the small intestine. He was diagnosed with hemorrhagic shock secondary to intestinal bleeding;we administered large volumes of intravenous fluid along with performing a blood transfusion. We then performed angiography to determine the site of bleeding angioectasia and placed a catheter into the affected artery. We identified the resection site using an intraoperative dye infusion via the catheter, and successfully performed small bowel resection. He was subsequently discharged without complications.
一名正在接受扩张型心肌病治疗的37岁日本男性出现了乏力和黑便症状。他有结膜苍白和站立困难的情况；血压为81/62 mmHg。腹部计算机断层扫描显示造影剂漏入小肠。他被诊断为因肠道出血继发的失血性休克；我们在进行输血的同时给予了大量静脉输液。然后我们进行血管造影以确定出血性血管扩张的部位，并将导管置入受影响的动脉。我们通过导管在术中注入染料来确定切除部位，并成功进行了小肠切除术。他随后顺利出院，没有并发症。
