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直肠海绵状血管瘤的内镜超声检查。

Endoscopic ultrasound for cavernous hemangioma of rectum.

机构信息

Department of Gastroenterology, Jaswant Rai Specialist Hospital, Meerut, PIN - 250 001, Uttar Pradesh, India.

Department of Cytopathology, Jaswant Rai Specialist Hospital, Meerut, PIN - 250 001, Uttar Pradesh, India.

出版信息

Endosc Ultrasound. 2014 Jan;3(1):63-5. doi: 10.4103/2303-9027.127127.

DOI:10.4103/2303-9027.127127
PMID:24949413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4063266/
Abstract

Lower gastrointestinal (GI) bleed due to hemangioma in rectum is an uncommon problem. A 19-year-old female patient presented with history of recurrent episodes of lower GI bleeding 1-2 times/month for last 3 years. At the time of hospitalization her vital signs were normal and rectal examination revealed frank blood. Investigations revealed a hemoglobin level of 8.9 g/dL and normal coagulation parameters. Colonoscopy showed bluish reddish elevated nodular lesions limited to distal rectum. Magnetic resonance imaging and endoscopic ultrasound showed cavernous hemangioma.

摘要

直肠血管瘤导致的下胃肠道 (GI) 出血是一种不常见的问题。一名 19 岁女性患者因反复发作的下胃肠道出血而就诊，每月 1-2 次，持续 3 年。入院时生命体征正常，直肠检查发现明显出血。检查显示血红蛋白水平为 8.9g/dL，凝血参数正常。结肠镜检查显示局限于直肠远端的蓝红色隆起性结节状病变。磁共振成像和内镜超声显示海绵状血管瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc2/4063266/7feeced88a64/EUS-3-63-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc2/4063266/49617456e740/EUS-3-63-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc2/4063266/e78c00e01c86/EUS-3-63-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc2/4063266/f395c45276c0/EUS-3-63-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc2/4063266/fd00a204cc7a/EUS-3-63-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc2/4063266/7feeced88a64/EUS-3-63-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc2/4063266/49617456e740/EUS-3-63-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc2/4063266/e78c00e01c86/EUS-3-63-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc2/4063266/f395c45276c0/EUS-3-63-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc2/4063266/fd00a204cc7a/EUS-3-63-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc2/4063266/7feeced88a64/EUS-3-63-g006.jpg

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本文引用的文献

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Diffuse cavernous hemangioma of the rectum (DCHR)--diagnosis and treatment--case report and review of available literature.直肠弥漫性海绵状血管瘤（DCHR）——诊断与治疗——病例报告及现有文献综述
Pol Przegl Chir. 2013 Apr;85(4):216-8. doi: 10.2478/pjs-2013-0033.
2
Diffuse cavernous hemangioma of the rectosigmoid colon.直肠乙状结肠弥漫性海绵状血管瘤。
Turk J Gastroenterol. 2012 Jun;23(3):308-9. doi: 10.4318/tjg.2012.0360.
内镜超声在孤立性胃海绵状血管瘤诊断中的作用
J Clin Diagn Res. 2016 Sep;10(9):XD03-XD04. doi: 10.7860/JCDR/2016/18739.8528. Epub 2016 Sep 1.