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直肠杜氏病损:下消化道出血的罕见病因

Rectal Dieulafoy's Lesion: A Rare Etiology of Lower Gastrointestinal Hemorrhage.

作者信息

Then Eric Omar, Bijjam Rani, Ofosu Andrew, Rawla Prashanth, Culliford Andrea, Gaduputi Vinaya

机构信息

Division of Gastroenterology and Hepatology, SBH Health System, Bronx, New York, USA.

Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, Brooklyn, New York, USA.

出版信息

Case Rep Gastroenterol. 2019 Feb 14;13(1):73-77. doi: 10.1159/000497139. eCollection 2019 Jan-Apr.

Abstract

A Dieulafoy's lesion is defined as a dilated submucosal vessel that erodes the overlying epithelium without evidence of a primary ulcer or erosion. It is a rare cause of gastrointestinal bleeding that is difficult to identify and subsequently manage. Most commonly, they occur in the upper gastrointestinal tract, namely the stomach. A Dieulafoy's lesion of the rectum, however, is an exceedingly rare presentation that can lead to life-threatening gastrointestinal bleeding. Our case consists of an 84-year-old man, who presented with lower gastrointestinal bleeding secondary to a Dieulafoy's lesion of the rectum.

摘要

Dieulafoy病被定义为一种扩张的黏膜下血管,它侵蚀覆盖其上的上皮组织,而无原发性溃疡或糜烂的证据。它是胃肠道出血的罕见原因,难以识别和后续处理。最常见的是,它们发生在上消化道,即胃。然而,直肠的Dieulafoy病是一种极其罕见的表现,可导致危及生命的胃肠道出血。我们的病例是一名84岁男性,因直肠Dieulafoy病继发下消化道出血前来就诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/706f/6477460/afad82ee3332/crg-0013-0073-g01.jpg

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