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类Dieulafoy病变并发梅克尔憩室所致下消化道出血:一例罕见病例报告

Lower gastrointestinal tract bleeding caused by dieulafoy-like lesion synchronous meckel diverticulum: A rare case report.

作者信息

Li Song-Hu, Wu Guang-Yao, Lin Xiao-Dong, Wen Zong-Quan, Huang Mei-Ting, Yu Shao-Ping, Zhang Hao

机构信息

Song-Hu Li, Guang-Yao Wu, Xiao-Dong Lin, Zong-Quan Wen, Mei-Ting Huang, Shao-Ping Yu, Department of Gastroenterology, Dongguan Kanghua Hospital, Dongguan 523080, Guangdong Province, China.

出版信息

World J Clin Cases. 2015 Nov 16;3(11):970-2. doi: 10.12998/wjcc.v3.i11.970.

DOI:10.12998/wjcc.v3.i11.970
PMID:26601102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4644901/
Abstract

Meckel diverticulum is an embryonic remnant of the Gastrointestinal duct which causes symptoms < 5% in the 2% population. Painless bleeding and abdominal pain are the most often reported symptoms. Dieulafoy lesion/dieulafoy-like lesion often cause upper gastrointestinal (GI) tract bleeding, but massive lower gastrointestinal bleeding is rare. We reported a 19-year-old male presented massive lower GI tract bleeding caused by Meckel diverticulum synchronous dieulafoy-like lesion.

摘要

梅克尔憩室是胃肠道管道的胚胎残余物,在2%的人群中出现症状的比例<5%。无痛性出血和腹痛是最常报告的症状。Dieulafoy病变/Dieulafoy样病变常导致上消化道出血,但下消化道大量出血罕见。我们报告了一名19岁男性,因梅克尔憩室合并Dieulafoy样病变导致下消化道大量出血。

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本文引用的文献

1
Ruptured Meckel diverticulum mimicking mucositis in a patient receiving induction therapy for high-risk acute lymphoblastic leukemia.
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Dieulafoy-like lesion of the rectum presenting with exsanguinating hemorrhage: successful endoscopic sclerotherapy.
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3
Detection of ectopic gastric mucosa in Meckel's diverticulum and in other aberrations by scintigraphy: ii. indications and methods--a 10-year experience.通过闪烁扫描术检测梅克尔憩室及其他异常中的异位胃黏膜:ii. 适应证与方法——10年经验
J Nucl Med. 1981 Aug;22(8):732-8.
4
Meckel's diverticulum: pitfalls in scintigraphic detection in the adult.梅克尔憩室:成人闪烁扫描检测中的陷阱
Am J Gastroenterol. 1984 Aug;79(8):611-8.