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脾组织自体移植:经动脉栓塞术成功治疗的胃肠道出血的罕见病因。

Splenosis: a rare cause of gastrointestinal bleeding successfully treated with transarterial embolization.

作者信息

Leitz Evan M, Kwan Sharon W

机构信息

Section of Body Imaging, Department of Radiology, University of Washington Medical Center, 1959 NE Pacific St, Seattle, WA, 98109, USA,

出版信息

Clin J Gastroenterol. 2015 Jun;8(3):126-9. doi: 10.1007/s12328-015-0567-x. Epub 2015 Apr 10.

Abstract

Splenosis, the ectopic implantation of splenic tissue, most commonly occurs in the peritoneal cavity following traumatic splenic injury with subsequent splenectomy. This entity is asymptomatic in a vast majority of patients. Occult gastrointestinal (GI) bleeding is a relatively rare presentation of splenosis. Previous cases of splenosis resulting in refractory GI bleeding have been treated with surgical excision of the ectopic splenic implant. We report a case of splenosis presenting as occult GI bleeding that was eventually treated with transarterial embolization. This presents an alternative minimally invasive approach to treating a patient with refractory GI bleeding secondary to splenosis.

摘要

脾组织异位植入即脾组织植入,最常见于外伤性脾损伤后继行脾切除术后的腹腔内。在绝大多数患者中,这种情况是无症状的。隐匿性胃肠道(GI)出血是脾组织植入相对罕见的表现。既往因脾组织植入导致难治性胃肠道出血的病例已通过手术切除异位脾组织植入物进行治疗。我们报告一例以隐匿性胃肠道出血为表现的脾组织植入病例,最终通过经动脉栓塞治疗。这为治疗因脾组织植入继发难治性胃肠道出血的患者提供了一种替代性的微创方法。

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