Cingel Marek, Benko Jakub, Samoš Matej, Mokáň Marián
Clinic of Internal Medicine I of University Hospital Martin, Jessenius Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Case Rep Gastrointest Med. 2022 Apr 26;2022:7072961. doi: 10.1155/2022/7072961. eCollection 2022.
Massive ileal variceal bleeding is a rare intricate condition that needs rapid management and treatment. The absence of randomized clinical trials in this field leads to a lack of evidence-based diagnostic and therapeutical approaches. We present a case report describing imaging, endoscopic, and surgical procedures leading to the diagnosis and resolution of severe ileal variceal bleeding. We admitted a 63-year-old patient for recurrent anemia and ongoing bleeding from the gastrointestinal tract presenting as enterorrhagia. We were not able to elucidate the source by endoscopic, angiographic, or nuclear imaging methods. As a last resort, we carried out a surgical procedure with peroperative enteroscopy and subsequent resection of the affected part of the intestine.
We present a patient with a case of ileal variceal bleeding, which required extensive diagnostic and therapeutic effort with a unique peroperative enteroscopic approach.
大量回肠静脉曲张出血是一种罕见的复杂病症，需要迅速进行处理和治疗。该领域缺乏随机临床试验，导致缺乏基于证据的诊断和治疗方法。我们报告一例病例，描述了通过影像学、内镜及外科手术程序诊断并解决严重回肠静脉曲张出血的过程。我们收治了一名63岁患者，其因反复贫血及胃肠道持续出血（表现为肠出血）入院。我们无法通过内镜、血管造影或核成像方法明确出血源。作为最后手段，我们进行了手术，术中采用术中肠镜检查并随后切除肠道病变部位。
我们报告了一例回肠静脉曲张出血患者，该病例需要通过独特的术中肠镜检查方法进行广泛的诊断和治疗。
