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空肠静脉曲张所致大量便血经弹簧圈栓塞治疗成功

Massive hematochezia due to jejunal varices successfully treated with coil embolization.

作者信息

Nasr Sahar, Dahmani Wafa, Jaziri Hanene, Becheikh Yesser, Ameur Wafa Ben, Elleuch Nour, Jmaa Ali

机构信息

Department of Gastroenterology University of Sousse Sousse Tunisia.

Department of Radiology University of Sousse Sousse Tunisia.

出版信息

Clin Case Rep. 2022 Sep 20;10(9):e6339. doi: 10.1002/ccr3.6339. eCollection 2022 Sep.

DOI:10.1002/ccr3.6339
PMID:36188043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9487444/
Abstract

We report a case of hematochezia with hemodynamic instability due to jejunal varices in a cirrhotic patient with no prior history of surgery. The patient was managed with coil embolization via the portal vein. After which, the patient did not present any hemorrhage recurrence and maintained a stable hemoglobin level.

摘要

我们报告一例肝硬化患者出现便血且伴有血流动力学不稳定，该患者既往无手术史，病因是空肠静脉曲张。患者通过门静脉进行了弹簧圈栓塞治疗。此后，患者未再出现出血复发，血红蛋白水平保持稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b169/9487444/a8c07ef470f4/CCR3-10-e6339-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b169/9487444/4b2548780f06/CCR3-10-e6339-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b169/9487444/a8c07ef470f4/CCR3-10-e6339-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b169/9487444/4b2548780f06/CCR3-10-e6339-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b169/9487444/a8c07ef470f4/CCR3-10-e6339-g003.jpg

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Int J Surg Case Rep. 2021 Sep;86:106299. doi: 10.1016/j.ijscr.2021.106299. Epub 2021 Aug 10.
2
Small Intestine Varices in Cirrhosis at a High-Volume Liver Transplant Center: A Retrospective Database Study and Literature Review.肝硬化高容量肝移植中心的小肠静脉曲张：回顾性数据库研究和文献综述。
Am J Gastroenterol. 2021 Jul 1;116(7):1426-1436. doi: 10.14309/ajg.0000000000001204.
3
Jejunal varices: an unconsidered cause of recurrent gastrointestinal haemorrhage.
空肠静脉曲张：复发性胃肠道出血的一个未被重视的原因。
BMJ Case Rep. 2019 Mar 7;12(3):e228680. doi: 10.1136/bcr-2018-228680.
4
Idiopathic Pan-Colonic and Small-Intestine Varices.特发性全结肠和小肠静脉曲张
Case Rep Gastroenterol. 2018 Dec 13;12(3):757-764. doi: 10.1159/000495602. eCollection 2018 Sep-Dec.
5
Endoscopic Sclerotherapy with a Large Volume of High Concentration of Cyanoacrylate for Jejunal Variceal Bleeding bys Single-Balloon Enteroscopy.单气囊小肠镜下大剂量高浓度氰基丙烯酸酯内镜硬化治疗空肠静脉曲张出血
Medicina (Kaunas). 2018 Oct 9;54(5):68. doi: 10.3390/medicina54050068.
6
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Ann Hepatol. 2015 May-Jun;14(3):369-79.
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Portal hypertensive enteropathy.门静脉高压性肠病
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