Dwivedi Sankalp, Al-Hamid Hussein, Warren Bradley J
Department of Internal Medicine, St Mary Mercy Livonia, Livonia, MI, USA.
Department of Gastroenterology, Providence - Providence Park Hospital, Southfield, MI, USA.
J Community Hosp Intern Med Perspect. 2017 Mar 31;7(1):37-39. doi: 10.1080/20009666.2016.1274083. eCollection 2017 Jan.
We present an unusual case of a 44-year-old male who developed violent hiccups soon after a ureteroscopy for nephrolithiasis; later, the forceful hiccups were followed by hematemesis. Upper esophagogastroduodenoscopy revealed Mallory-Weiss tears and esophageal erosions in the lower esophagus. Esophageal biopsy was unremarkable. The patient did not have a prior history of the gastrointestinal disorder. Although extracorporeal shock wave lithotripsy has on rare occasion been implicated in the development of gastrointestinal erosions, no such correlation exists for ureteroscopy and upper gastrointestinal bleeding in the management of nephrolithiasis. It was the development of violent hiccups for several hours before the onset of hematemesis that likely led to the upper gastrointestinal bleed.
我们报告一例罕见病例，一名44岁男性在输尿管镜检查治疗肾结石后不久出现剧烈呃逆；随后，在强力呃逆之后出现了呕血。上消化道内镜检查显示食管下段有马洛里-魏斯撕裂伤和食管糜烂。食管活检未见异常。该患者既往无胃肠道疾病史。虽然体外冲击波碎石术偶尔与胃肠道糜烂的发生有关，但在肾结石治疗中输尿管镜检查与上消化道出血之间不存在这种关联。呕血发作前数小时出现的剧烈呃逆可能导致了上消化道出血。
