腹膜后血肿所致缺血性直肠乙状结肠炎

Ischemic proctosigmoiditis due to retroperitoneal hematoma.

作者信息

Roepstorff Soeren, Oehlenschläger Jacob

机构信息

Department of Surgery, Koege University Hospital, Koege, Denmark

Department of Surgery, Koege University Hospital, Koege, Denmark.

出版信息

J Surg Case Rep. 2016 Feb 18;2016(2):rjw016. doi: 10.1093/jscr/rjw016.

DOI:10.1093/jscr/rjw016

PMID:26892890

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4757819/

Abstract

Gastrointestinal ischemia is caused by ischemic colitis in 50-60% of cases and is associated with high morbidity and mortality among patients. Ischemic proctosigmoiditis is a very rare disorder with only few cases reported. Due to collateral blood supply the rectum is only affected in 2-5% of all cases of ischemic colitis. We report a rare case of ischemic proctosigmoiditis caused by a retroperitoneal hematoma due to a pelvic fracture.

摘要

在50%-60%的病例中，胃肠道缺血由缺血性结肠炎引起，且与患者的高发病率和死亡率相关。缺血性直肠乙状结肠炎是一种非常罕见的疾病，仅有少数病例报道。由于存在侧支血供，在所有缺血性结肠炎病例中，直肠仅在2%-5%的病例中受到影响。我们报告一例因骨盆骨折导致腹膜后血肿引起的缺血性直肠乙状结肠炎罕见病例。