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粪石性溃疡导致的大量直肠出血

Massive Rectal Hemorrhage From a Stercoral Ulcer.

作者信息

Hassranah Samara, Maharajh Sandeep, Solomon Sanjeev, Naraynsingh Vijay

机构信息

Surgery, Medical Associates Hospital, St. Joseph, TTO.

Gastroenterology, Medical Associates Hospital, St. Joseph, TTO.

出版信息

Cureus. 2022 Jul 18;14(7):e26963. doi: 10.7759/cureus.26963. eCollection 2022 Jul.

DOI:10.7759/cureus.26963
PMID:35989792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9382688/
Abstract

Massive lower gastrointestinal (GI) bleeding from stercoral ulcers is exceedingly rare. We report a case of a middle-aged man who presented with progressively deteriorating neurologic function with constipation and subsequent massive GI bleeding per rectum. While an uncommon cause of GI bleeding, such patients require rapid resuscitation and timely diagnosis of these ulcers since the usual management of such cases will be futile and harmful due to potentially inappropriate surgical bowel resection.

摘要

因粪性溃疡导致的大量下消化道出血极为罕见。我们报告一例中年男性病例，该患者因便秘出现神经功能逐渐恶化，随后出现经直肠大量消化道出血。虽然消化道出血的这种病因并不常见，但此类患者需要迅速复苏并及时诊断这些溃疡，因为对此类病例进行常规处理可能因不恰当的肠道手术切除而徒劳无功且有害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5468/9382688/c8fd07f2ad59/cureus-0014-00000026963-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5468/9382688/403a8f05891d/cureus-0014-00000026963-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5468/9382688/c8fd07f2ad59/cureus-0014-00000026963-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5468/9382688/403a8f05891d/cureus-0014-00000026963-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5468/9382688/c8fd07f2ad59/cureus-0014-00000026963-i02.jpg

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1
Massive Rectal Hemorrhage From a Stercoral Ulcer.粪石性溃疡导致的大量直肠出血
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本文引用的文献

1
Acute hemorrhagic rectal ulcer: Experience in 11 patients at an urban acute care center in the USA: A case series.急性出血性直肠溃疡：美国一家城市急症护理中心11例患者的经验：病例系列
Medicine (Baltimore). 2020 May;99(18):e19836. doi: 10.1097/MD.0000000000019836.
2
Risk Factors for Acute Hemorrhagic Rectal Ulcer Syndrome and Its Prognosis: A Density Case-Control Study.急性出血性直肠溃疡综合征的危险因素及其预后：一项密度病例对照研究。
Gastroenterol Res Pract. 2018 Aug 8;2018:8179890. doi: 10.1155/2018/8179890. eCollection 2018.
3
Not your usual constipation: stercoral perforation.
并非寻常便秘：粪性穿孔。
BMJ Case Rep. 2017 Feb 13;2017:bcr2016218283. doi: 10.1136/bcr-2016-218283.
4
Massive bleeding from visible vessels within a solitary rectal ulcer.孤立性直肠溃疡内可见血管的大量出血。
Surgery. 2014 May;155(5):956-7. doi: 10.1016/j.surg.2012.12.006. Epub 2013 Mar 15.
5
Lower gastrointestinal bleeding caused by stercoral ulcer.粪性溃疡引起的下消化道出血。
CMAJ. 2011 Feb 8;183(2):E134. doi: 10.1503/cmaj.100621. Epub 2010 Dec 20.
6
Acute lower GI bleeding for the acute care surgeon: current diagnosis and management.急性下胃肠道出血：急性外科医生的诊治现状。
Scand J Surg. 2009;98(3):135-42. doi: 10.1177/145749690909800302.
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Acute gastrointestinal hemorrhage.急性胃肠道出血
Tech Vasc Interv Radiol. 2009 Jun;12(2):80-91. doi: 10.1053/j.tvir.2009.08.002.
8
Lower gastrointestinal bleeding: association with Sevelamer use.下消化道出血：与使用司维拉姆的关联。
World J Gastroenterol. 2008 Apr 28;14(16):2615-6. doi: 10.3748/wjg.14.2615.
9
Emergency subtotal colectomy for lower gastrointestinal haemorrhage: over-utilised or under-estimated?紧急次全结肠切除术治疗下消化道出血：过度应用还是低估？
Int J Clin Pract. 2009 Jun;63(6):865-8. doi: 10.1111/j.1742-1241.2007.01632.x. Epub 2008 Feb 1.
10
Lower GI bleeding: epidemiology and diagnosis.下消化道出血：流行病学与诊断
Gastroenterol Clin North Am. 2005 Dec;34(4):643-64. doi: 10.1016/j.gtc.2005.08.007.