Burke Eoghan P
Royal College of Surgeons Ireland, Dublin, Ireland.
Case Rep Gastrointest Med. 2021 Mar 4;2021:8896489. doi: 10.1155/2021/8896489. eCollection 2021.
A 35-year-old gentleman presented acutely to the emergency department with large volume haematemesis and melena. Following adequate initial resuscitation, the patient underwent emergency upper gastrointestinal endoscopy which revealed a dilated tortuous submucosal vessel which was actively bleeding at the midpoint of the esophagus. This was consistent with a Dieulafoy lesion. However, its position in the midpoint of the esophagus is rare. Our patient recovered well following intervention.
一名35岁男性因大量呕血和黑便急症就诊于急诊科。经过充分的初始复苏后,患者接受了急诊上消化道内镜检查,结果显示食管中段有一条扩张迂曲的黏膜下血管正在活动性出血。这符合迪厄拉富瓦病损表现。然而,其位于食管中段的情况较为罕见。我们的患者经干预后恢复良好。