Maddah Ghodratollah, Abdollahi Abbas, Rouhbakhshfar Omid, Taraz Jamshidi Shirin, Hassanpour Masoumeh
Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Caspian J Intern Med. 2017 Winter;8(1):52-55.
Arteriovenous malformations are one of the most common vascular disorders of the colon. Vascular disorders present as painless, high-volume rectal bleeding.
This study elucidates two rare cases of vascular disorders that are diagnosed as angiodysplasia of the left colon and cavernous hemangioma of the colon and rectum. The chief complaint in two patients was rectorrhagia. The patients who were diagnosed of ulcerative colitis were treated with sulfadiazine and prednisone. Due to continuous bleeding, the patients were referred to the surgery department for operation. The patients underwent total proctocolectomy.
We discuss the faults in the diagnosis and management of vascular disorders of the intestine.
动静脉畸形是结肠最常见的血管疾病之一。血管疾病表现为无痛性、大量直肠出血。
本研究阐明了两例罕见的血管疾病，诊断为左半结肠血管发育异常和结肠直肠海绵状血管瘤。两名患者的主要症状均为便血。被诊断为溃疡性结肠炎的患者接受了磺胺嘧啶和泼尼松治疗。由于持续出血，患者被转诊至外科进行手术。患者接受了全直肠结肠切除术。
我们讨论了肠道血管疾病诊断和治疗中的失误。
