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一名学龄前儿童小肠长节段血管畸形伴消化道出血

A long-Segmental Vascular Malformation in the Small Bowel Presenting With Gastrointestinal Bleeding in a Preschool-Aged Child.

作者信息

Lee Yeoun Joo, Hwang Jae-Yeon, Cho Yong Hoon, Kim Yong-Woo, Kim Tae Un, Shin Dong Hoon

机构信息

Department of Pediatrics, Pusan National University Children's Hospital, Pusan National University, School of Medicine, Yangsan, Republic of Korea.

Department of Radiology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University, School of Medicine, Yangsan, Republic of Korea.

出版信息

Iran J Radiol. 2016 Jan 18;13(1):e29260. doi: 10.5812/iranjradiol.29260. eCollection 2016 Jan.

DOI:10.5812/iranjradiol.29260
PMID:27110342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4835636/
Abstract

Gastrointestinal (GI) bleeding in pediatric patients has several causes. Vascular malformation of the small bowel is a rare disease leading to pediatric GI bleeding. To our knowledge, few reports describe ultrasound and computed tomography findings of venous malformations involving the small bowel. We present a case of long-segmental and circumferential vascular malformation that led to GI bleeding in a pre-school aged child, focusing on the radiologic findings. Although vascular malformation including of the GI tract is rare in children, it should be considered when GI bleeding occurs in pediatric patients.

摘要

小儿胃肠道(GI)出血有多种原因。小肠血管畸形是一种导致小儿GI出血的罕见疾病。据我们所知,很少有报告描述涉及小肠的静脉畸形的超声和计算机断层扫描结果。我们报告一例导致学龄前儿童GI出血的长节段和环形血管畸形病例,重点关注影像学表现。尽管包括胃肠道在内的血管畸形在儿童中很少见,但当小儿患者发生GI出血时应予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ee1/4835636/677a568d62eb/iranjradiol-13-01-29260-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ee1/4835636/8f9dd3bcf6c7/iranjradiol-13-01-29260-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ee1/4835636/677a568d62eb/iranjradiol-13-01-29260-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ee1/4835636/8f9dd3bcf6c7/iranjradiol-13-01-29260-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ee1/4835636/677a568d62eb/iranjradiol-13-01-29260-g002.jpg

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本文引用的文献

1
Gastrointestinal hemangioma in childhood: a rare cause of gastrointestinal bleeding.儿童胃肠道血管瘤:胃肠道出血的罕见原因。
Korean J Pediatr. 2014 May;57(5):245-9. doi: 10.3345/kjp.2014.57.5.245. Epub 2014 May 31.
2
Large, segmental, circular vascular malformation of the small intestine (in a female toddler with hematochezia): unusual presentation in a child.小肠大段环形血管畸形(女幼童便血):儿童中不常见的表现。
BMC Pediatr. 2014 Feb 26;14:55. doi: 10.1186/1471-2431-14-55.
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Vascular malformation as a cause of occult gastrointestinal bleeding.
腹腔镜手术联合静脉注射吲哚菁绿治疗小肠动静脉畸形:病例报告并文献复习
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Arteriovenous malformation that caused prolapse of the colon and was treated surgically in an infant: a case report.导致结肠脱垂并在一名婴儿中接受手术治疗的动静脉畸形:病例报告。
Surg Case Rep. 2020 Apr 8;6(1):67. doi: 10.1186/s40792-020-00824-x.
5
Non-variceal gastrointestinal bleed in children: surgical experience with emphasis on management challenges.儿童非静脉曲张性胃肠道出血:侧重于管理挑战的手术经验
Pediatr Surg Int. 2019 Nov;35(11):1197-1210. doi: 10.1007/s00383-019-04522-0. Epub 2019 Jul 12.
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Laparoscopic resection of idiopathic jejunal arteriovenous malformation after metallic coil embolization.金属线圈栓塞术后腹腔镜下切除特发性空肠动静脉畸形
Surg Case Rep. 2018 Jul 18;4(1):78. doi: 10.1186/s40792-018-0486-4.
血管畸形作为隐匿性胃肠道出血的一个原因。
J Pediatr Gastroenterol Nutr. 2015 Apr;60(4):e28. doi: 10.1097/MPG.0b013e31829ae5eb.
4
GI-Associated Hemangiomas and Vascular Malformations.胃肠道相关血管瘤和血管畸形
Clin Colon Rectal Surg. 2011 Sep;24(3):193-200. doi: 10.1055/s-0031-1286003.
5
Vascular malformations: classification and terminology the radiologist needs to know.血管畸形:放射科医生需要了解的分类和术语
Semin Roentgenol. 2012 Apr;47(2):106-17. doi: 10.1053/j.ro.2011.11.002.
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Vascular lesions of the gastrointestinal tract.胃肠道血管病变
Best Pract Res Clin Gastroenterol. 2008;22(2):313-28. doi: 10.1016/j.bpg.2007.10.026.
7
Pediatric gastrointestinal vascular anomalies: imaging and therapeutic issues.小儿胃肠道血管异常:影像学与治疗问题
Pediatr Radiol. 2007 Jun;37(6):566-74. doi: 10.1007/s00247-007-0448-7. Epub 2007 Apr 17.
8
Gastrointestinal manifestations of vascular anomalies in childhood: varied etiologies require multiple therapeutic modalities.儿童血管异常的胃肠道表现:病因多样,需多种治疗方式。
J Pediatr Surg. 1998 Jul;33(7):1163-7. doi: 10.1016/s0022-3468(98)90552-8.