急性艰难梭菌性结肠炎和肠道阿米巴病背景下伴发缺血性结肠炎的动静脉畸形：一例报告
An arteriovenous malformation associated ischemic colitis in the setting of acute gastrointestinal clostridium difficile colitis and intestinal amebiasis: A case report.
作者信息
Maqboul Iyad, Demyati Khaled, Abdoh Qusay, Suleiman Qotaiba, Daraghmeh Laith
机构信息
Department of Medicine Faculty of Medicine & Health Sciences, An-Najah National University Hospital, State of Palestine.
An-Najah National University Hospital, State of Palestine.
出版信息
Int J Surg Case Rep. 2023 Apr;105:108063. doi: 10.1016/j.ijscr.2023.108063. Epub 2023 Mar 30.
BACKGROUND
There is one reported case of inferior mesenteric arteriovenous malformation presenting as ischemic colitis after an episode of gastrointestinal infection. We documented this case to emphasize the possible association between ischemic colitis and vascular malformations. In addition, this is the number 15th case in the literature about this association.
CASE SUMMARY
A 40 years old male patient presented with abdominal pain and diarrhea of 10 days duration after he was diagnosed and managed as a case of Clostridium Difficile infection and amebiasis. Computed tomography angiography revealed a vascular malformation of the inferior mesenteric artery, repeated colonoscopy showed ulceration and sloughing of the mucosa, he underwent Hartmann's procedure due to colonic ischemia diagnosed by the previous measures. Later on he had a colostomy closure and end to end colorectal anastomosis.
CONCLUSION
There is a possible association between acute gastrointestinal infection and ischemic colitis in the setting of arteriovenous malformation.
背景
有一例报告称，一名患者在经历胃肠道感染后，肠系膜下动静脉畸形表现为缺血性结肠炎。我们记录了该病例，以强调缺血性结肠炎与血管畸形之间可能存在的关联。此外，这是文献中关于这种关联的第15个病例。
病例摘要
一名40岁男性患者，在被诊断为艰难梭菌感染和阿米巴病并接受相应治疗后，出现了持续10天的腹痛和腹泻症状。计算机断层血管造影显示肠系膜下动脉存在血管畸形，多次结肠镜检查显示黏膜溃疡和脱落，由于先前检查诊断为结肠缺血，他接受了哈特曼手术。后来，他进行了结肠造口关闭和结直肠端端吻合术。
结论
在动静脉畸形的情况下，急性胃肠道感染与缺血性结肠炎之间可能存在关联。
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