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Diagnosis and management of jejunoileal diverticular hemorrhage: a decade of experience.空肠回肠憩室出血的诊断和治疗:十年经验。
J Dig Dis. 2012 Jun;13(6):316-20. doi: 10.1111/j.1751-2980.2012.00591.x.
2
Bleeding at the hepatic flexure of the colon secondary to diverticulosis.结肠肝曲因憩室病继发出血。
Clin Gastroenterol Hepatol. 2012 Feb;10(2):e11-2. doi: 10.1016/j.cgh.2011.07.014. Epub 2011 Jul 30.
3
Application of double-balloon enteroscopy in jejunal diverticular bleeding.双气囊小肠镜在空肠憩室出血中的应用。
World J Gastroenterol. 2010 Nov 28;16(44):5616-20. doi: 10.3748/wjg.v16.i44.5616.
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Case records of the Massachusetts General Hospital. Case 9-2009. An 81-year-old man with massive rectal bleeding.马萨诸塞州总医院病例记录。病例9 - 2009。一名81岁男性,大量直肠出血。
N Engl J Med. 2009 Mar 19;360(12):1239-48. doi: 10.1056/NEJMcpc0810836.
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Small intestinal nonmeckelian diverticulosis.小肠非梅克尔憩室病
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6
Bleeding colonic diverticula.结肠憩室出血
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7
Diagnostic accuracy of CT angiography in acute gastrointestinal bleeding.CT血管造影在急性胃肠道出血中的诊断准确性。
J Med Imaging Radiat Oncol. 2008 Aug;52(4):333-8. doi: 10.1111/j.1440-1673.2008.01964.x.
8
Acute gastrointestinal bleeding: emerging role of multidetector CT angiography and review of current imaging techniques.急性胃肠道出血:多排CT血管造影的新作用及当前成像技术综述
Radiographics. 2007 Jul-Aug;27(4):1055-70. doi: 10.1148/rg.274065095.
9
Analysis of clinical manifestations of symptomatic acquired jejunoileal diverticular disease.症状性后天性空回肠憩室病的临床表现分析
World J Gastroenterol. 2005 Sep 21;11(35):5557-60. doi: 10.3748/wjg.v11.i35.5557.
10
Epidemiology and management of diverticular disease of the colon.结肠憩室病的流行病学与管理
Drugs Aging. 2004;21(4):211-28. doi: 10.2165/00002512-200421040-00001.

通过计算机断层血管造影诊断的活动性胃肠道憩室出血

Active gastrointestinal diverticulum bleeding diagnosed by computed tomography angiography.

作者信息

Xu Xie-Qun, Hong Tao, Li Bing-Lu, Liu Wei

机构信息

Xie-Qun Xu, Tao Hong, Bing-Lu Li, Wei Liu, Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.

出版信息

World J Gastroenterol. 2014 Oct 7;20(37):13620-4. doi: 10.3748/wjg.v20.i37.13620.

DOI:10.3748/wjg.v20.i37.13620
PMID:25309094
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4188915/
Abstract

A diverticulum is a bulging sack in any portion of the gastrointestinal tract. Small intestine diverticular disease is much less common than colonic diverticular disease. The most common symptoms include non-specific epigastric pain and a bloating sensation. Major complications include diverticulitis, gastrointestinal bleeding, acute perforation, intestinal obstruction, intestinal perforation, localized abscess, malabsorption, anemia, volvulus and bacterial overgrowth. We report one case of massive jejunal diverticula bleeding and one case of massive colonic diverticula bleeding, both diagnosed by acute abdominal computed tomography angiography and treated successfully by surgery.

摘要

憩室是胃肠道任何部位的一个膨出袋状物。小肠憩室病比结肠憩室病少见得多。最常见的症状包括非特异性上腹部疼痛和腹胀感。主要并发症包括憩室炎、胃肠道出血、急性穿孔、肠梗阻、肠穿孔、局部脓肿、吸收不良、贫血、肠扭转和细菌过度生长。我们报告一例空肠巨大憩室出血病例和一例结肠巨大憩室出血病例,两例均通过急性腹部计算机断层血管造影诊断,并通过手术成功治疗。