Iqbal Javid, Kaman Lileswar, Parkash Mahesh
Department of General Surgery, PGIMER, Chandigarh, India.
Department of Radio Diagnosis, PGIMER, Chandigarh, India.
Gastroenterology Res. 2011 Feb;4(1):36-38. doi: 10.4021/gr274w. Epub 2011 Jan 20.
Traumatic pseudoaneurysm of superior rectal artery is an unusual cause of massive lower gastrointestinal bleed. We are reporting the first case as we could not come across any similar report in the literature. Patient underwent exploratory laparotomy, diversion sigmoid loop colostomy, perineal wound debridement and antiseptic dressing for traumatic perineal wound. Patient had repeated episode of massive lower gastrointestinal bleeding and was diagnosed as a case of bleeding from superior rectal artery pseudoaneurysm which was managed by selective superior rectal artery embolization after failure of surgical treatment.
直肠上动脉创伤性假性动脉瘤是导致大量下消化道出血的罕见原因。由于我们在文献中未发现任何类似报告,故在此报告首例病例。患者接受了剖腹探查术、乙状结肠袢转流造口术、会阴伤口清创术及外伤性会阴伤口的抗菌敷料处理。患者反复出现大量下消化道出血,经诊断为直肠上动脉假性动脉瘤出血,手术治疗失败后通过选择性直肠上动脉栓塞进行治疗。