Xu Xie-Qun, Hong Tao, Li Bing-Lu, Liu Wei
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.
World J Gastroenterol. 2014 Oct 7;20(37):13620-4. doi: 10.3748/wjg.v20.i37.13620.
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.
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。