Abadie J C, Gasquet C, Babin P, Lansmann M, Payen J, Barbier J, Matuchansky C
J Radiol Electrol Med Nucl. 1978 Jan;59(1):61-4.
A case of massive digestive bleeding due to an arterial abnormality of the jejunal wall is reported. Its interest is twofold: a) After a complete endoscopic and operative examination of the GI tract proved negative, an emergency superior mesenteric angiography was the only investigation which allowed to recognize the site and mechanism of the bleeding; b) from a nosologic point of view, the clinico-pathological picture was entirely similar to that of "Dieulafoy's erosion", a syndrome which has been only described, up to now, in the gastric mucosa.
本文报告一例因空肠壁动脉异常导致的大量消化道出血病例。其意义有两方面：a）在对胃肠道进行全面的内镜和手术检查均为阴性后，急诊肠系膜上动脉造影是唯一能够确定出血部位和机制的检查；b）从疾病分类学角度来看，临床病理表现与“Dieulafoy 糜烂”完全相似，而到目前为止，该综合征仅在胃黏膜中被描述过。
