Ueda Motofumi, Yamaguchi Hayato, Kagawa Yasuyuki, Matsumoto Taisuke, Morise Takashi, Sugimoto Akihiko, Kono Shin, Fukuzawa Masakatsu, Kawai Takashi, Itoi Takao
Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital.
Endoscopy Center, Tokyo Medical University Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2020;117(11):985-991. doi: 10.11405/nisshoshi.117.985.
An 86-year-old man was transferred to the Tokyo Medical University Hospital because of a temporary loss of consciousness and melena. We performed upper gastrointestinal endoscopy, which revealed Mallory-Weiss syndrome caused by a strong vomiting reflex. After an examination, he complained of abdominal pain, and his blood pressure decreased. Abdominal contrast-enhanced computed tomography showed fresh intra-abdominal hemorrhage. We performed transcatheter arterial embolization by using N-butyl-2-cyanoacrylate to control the bleeding from the right gastroepiploic artery. Intra-abdominal hemorrhage after upper gastrointestinal endoscopy is rare, and we report this case with the literature review.
一名86岁男性因短暂意识丧失和黑便被转至东京医科大学医院。我们进行了上消化道内镜检查，发现是由强烈呕吐反射引起的马洛里-魏斯综合征。检查后，他诉说腹痛，血压下降。腹部增强计算机断层扫描显示腹腔内有新鲜出血。我们使用N-丁基-2-氰基丙烯酸酯进行经导管动脉栓塞术，以控制来自胃网膜右动脉的出血。上消化道内镜检查后腹腔内出血很少见，我们结合文献复习报告了此病例。
