Gupton Theodore, Cura Marco
Department of Radiology, Baylor University Medical Center, Dallas, Texas.
Proc (Bayl Univ Med Cent). 2017 Jul;30(3):353-354. doi: 10.1080/08998280.2017.11929646.
Lower gastrointestinal hemorrhage remains a common disease, frequently presenting with acute life-threatening symptoms. Although prompt detection and treatment are imperative, it is difficult to diagnose lower gastrointestinal hemorrhage in an accurate and efficient manner. Most available modalities are time consuming. Computed tomographic angiography of the abdomen and pelvis, on the other hand, has the unique capability of rapidly detecting whether life-threatening hemorrhage is occurring and accurately localizing it, thus facilitating definitive treatment. We present a case in which computed tomographic angiography was invaluable in the detection and subsequent empirical transarterial embolization of a lower gastrointestinal hemorrhage and offer evidence as to why it should be a first-line tool in the management of these patients.
下消化道出血仍然是一种常见疾病，常表现出急性危及生命的症状。尽管及时检测和治疗至关重要，但准确、高效地诊断下消化道出血却很困难。大多数现有方法都很耗时。另一方面，腹部和盆腔的计算机断层血管造影具有独特的能力，能够快速检测是否正在发生危及生命的出血并准确对其定位，从而有助于进行确定性治疗。我们报告一例病例，其中计算机断层血管造影在检测下消化道出血并随后进行经验性经动脉栓塞治疗中具有重要价值，并提供证据说明为何它应成为这些患者管理中的一线工具。
