小肠黏膜下恒径动脉破裂致慢性胃肠道出血 1 例报告
Chronic gastrointestinal bleeding caused by a Dieulafoy's lesion in the small intestine: a case report.
机构信息
Vascular Surgery Department, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
J Med Case Rep. 2021 Nov 2;15(1):545. doi: 10.1186/s13256-021-03121-9.
INTRODUCTION
Dieulafoy's lesion, first found by Paul Georges Dieulafoy, is an infrequent but important cause of recurrent upper gastrointestinal bleeding. The bleeding is usually severe, but patients rarely present with chronic, occult gastrointestinal bleeding.
CASE PRESENTATION
In this article, we discuss the case of a 68-year-old caucasian man with a history of recurrent hematemesis and chronic anemia with evidence of extravasation of contrast in the lumen of the bowel loop on computed tomography angiography. The patient was taken to the operating room, and a laparotomy procedure was performed.
CONCLUSION
Due to the infrequency of Dieulafoy's lesion compared with other causes of gastrointestinal bleeding, it is often missed in the process of differential diagnosis. In this article, we have demonstrated the importance of this disease and different approaches to the treatment of this lesion, considering the location of the lesion among other factors.
简介
迪厄拉富瓦（Dieulafoy）病变由保罗·乔治·迪厄拉富瓦（Paul Georges Dieulafoy）首次发现，是复发性上消化道出血的一个不常见但重要的原因。出血通常很严重，但患者很少出现慢性隐匿性胃肠道出血。
病例介绍
本文讨论了一位 68 岁白人男性的病例，该患者有反复呕血和慢性贫血病史，计算机断层血管造影显示肠袢腔内有对比剂外渗的证据。患者被送往手术室，进行了剖腹手术。
结论
与其他胃肠道出血原因相比，迪厄拉富瓦病变的发病率较低，因此在鉴别诊断过程中常常被忽略。本文通过对病变位置等因素的考虑，强调了这种疾病的重要性和治疗这种病变的不同方法。
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