蓝色橡皮疱痣综合征的非典型表现。
An atypical presentation of blue rubber bleb nevus syndrome.
作者信息
Gonzalez-Hernandez Jessica, Lizardo-Sanchez Luis
机构信息
Department of Surgery (Gonzalez-Hernandez) and the Division of Gastroenterology, Department of Internal Medicine (Lizardo-Sanchez), Baylor University Medical Center at Dallas.
出版信息
Proc (Bayl Univ Med Cent). 2016 Jul;29(3):323-4. doi: 10.1080/08998280.2016.11929454.
A 69-year-old white man presented with several episodes of hematochezia. Colonoscopy demonstrated multiple colonic blebs localized mainly in the distal transverse colon. Esophagogastroduodenoscopy, capsule endoscopy, and computed tomography of the abdomen did not reveal any abnormalities. The patient required several blood transfusions and eventually required a subtotal colectomy with ileosigmoid anastomosis for definitive bleeding control. Pathology was remarkable for multifocal vascular ectasia, consistent with the diagnosis of blue rubber bleb nevus syndrome.
一名69岁白人男性出现多次便血。结肠镜检查显示多个结肠水疱，主要位于横结肠远端。食管胃十二指肠镜检查、胶囊内镜检查及腹部计算机断层扫描均未发现任何异常。该患者需要多次输血，最终需要行结肠次全切除术加回肠乙状结肠吻合术以明确控制出血。病理检查显示多灶性血管扩张，符合蓝色橡皮疱痣综合征的诊断。
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