Assens P, Gossot D, Fraioli J P, Frija G, Franc B, Lang F, Candau P, Cabanel N, Dupuy P
J Chir (Paris). 1985 Jan;122(1):47-52.
We report on two cases of angiodysplasia of the digestive tract complicated by serious acute bleeding. The preoperative diagnoses were made by angiography. One case concerned a voluminous jejunal lesion which was macroscopically visible; the other concerned a punctiform lesion detected only by angiography and not found on the pathology specimen. The authors insist on the potential gravity of these angiodysplastic lesions, the necessity to perform an emergency celio-mesenteric angiogram when confronted with a serious digestive tract hemorrhage non-explained by conventional methods of exploration when they can be performed.
我们报告两例消化道血管发育异常并发严重急性出血的病例。术前诊断通过血管造影做出。一例是一个体积较大、肉眼可见的空肠病变;另一例是一个仅通过血管造影检测到、病理标本上未发现的点状病变。作者强调这些血管发育异常病变的潜在严重性,以及当面对常规检查方法无法解释的严重消化道出血且可行时,进行急诊腹腔肠系膜血管造影的必要性。