Vásquez Alva Rolando, Ramos Cabrera Víctor Yuri, Yabar Berrocal Alejandro
Departamento de Emergencia, Hospital Edgardo Rebagliati Martins. Lima, Perú; Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú.
Departamento de Emergencia, Hospital Edgardo Rebagliati Martins. Lima, Perú.
Rev Gastroenterol Peru. 2017 Oct-Dec;37(4):387-390.
A 23-year old male patient with no history of importance was admitted to Emergency because of dark red stools, tendency to lethargy and hypotension, with significant anemia proceeding to perform on blood transfusion, upper endoscopy, abdominal angiotomography and arteriography with clinical diagnosis of Dieulafoy lesion motivated exploratory laparotomy finding injury vascular, the jejunum with active bleeding. The management of severe gastrointestinal bleeding with hemodynamic compromise and uncommon cause of arteriovenous malformation in the jejunum is discussed.
一名23岁无重要病史的男性患者因暗红色便血、嗜睡倾向和低血压被送往急诊室，伴有严重贫血，遂进行输血、上消化道内镜检查、腹部血管造影和动脉造影，临床诊断为Dieulafoy病变，促使进行剖腹探查，发现血管损伤，空肠有活动性出血。本文讨论了伴有血流动力学障碍的严重胃肠道出血以及空肠动静脉畸形这一罕见病因的处理方法。
