内镜超声引导下聚桂醇注射治疗大肠海绵状血管瘤：两例报告
Endoscopic ultrasound-guided lauromacrogol injection for treatment of colorectal cavernous hemangioma: Two case reports.
作者信息
Zhu Hua-Tuo, Chen Wen-Guo, Wang Jing-Jie, Guo Jia-Nan, Zhang Fen-Ming, Xu Guo-Qiang, Chen Hong-Tan
机构信息
Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China.
出版信息
World J Gastrointest Surg. 2024 Mar 27;16(3):966-973. doi: 10.4240/wjgs.v16.i3.966.
BACKGROUND
Colorectal cavernous hemangioma is a rare vascular malformation resulting in recurrent lower gastrointestinal hemorrhage, and can be misinterpreted as colitis. Surgical resection is currently the mainstay of treatment, with an emphasis on sphincter preservation.
CASE SUMMARY
We present details of two young patients with a history of persistent hematochezia diagnosed with colorectal cavernous hemangioma by endoscopic ultrasound (EUS). Cavernous hemangioma was relieved by several EUS-guided lauromacrogol injections and the patients achieved favorable clinical prognosis.
CONCLUSION
Multiple sequential EUS-guided injections of lauromacrogol is a safe, effective, cost-efficient, and minimally invasive alternative for colorectal cavernous hemangioma.
背景
结直肠海绵状血管瘤是一种罕见的血管畸形，可导致反复下消化道出血，且可能被误诊为结肠炎。手术切除是目前的主要治疗方法，重点是保留括约肌。
病例总结
我们介绍了两名有持续便血病史的年轻患者的详细情况，他们经内镜超声（EUS）诊断为结直肠海绵状血管瘤。通过多次EUS引导下聚桂醇注射，海绵状血管瘤得到缓解，患者获得了良好的临床预后。
结论
多次序贯EUS引导下聚桂醇注射是治疗结直肠海绵状血管瘤的一种安全、有效、经济且微创的替代方法。
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