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特纳综合征中的胃肠道出血。尸检的长期随访。

Gastrointestinal hemorrhage in Turner syndrome. Long-term follow-up with postmortem examination.

作者信息

Frame B, Rao D S, Ohorodnik J M, Kwa D M

出版信息

Arch Intern Med. 1977 May;137(5):691-2.

PMID:301017
Abstract

A 57-year-old woman with Turner syndrome had severe recurrent gastrointestinal bleeding. Exploratory laparotomy at the age of 26 showed an extensive telanglectasia of the entire small intestine. Following death due to myocardial infraction at age 57, postmortem examination revealed only a 0.2-cm residual telangiectasia in the mucosa of the distal part of the ileum. Spontaneous regression of the intestinal telangiectasia observed in Turner syndrome may occur and account for the improved prognosis with age.

摘要

一名患有特纳综合征的57岁女性出现严重复发性胃肠道出血。26岁时的剖腹探查显示整个小肠有广泛的毛细血管扩张。在57岁因心肌梗死死亡后,尸检发现回肠远端黏膜仅有一处0.2厘米的残余毛细血管扩张。特纳综合征中观察到的肠道毛细血管扩张可能会自发消退,并解释了随着年龄增长预后改善的原因。

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