Tisnado J, Cho S R, Beachley M C, Margolius D A
Acta Radiol Diagn (Stockh). 1985 Nov-Dec;26(6):677-80. doi: 10.1177/028418518502600606.
A 51-year-old man with repeated and massive rectal bleeding was found to have a large angiodysplasia of the rectum. A superselective embolization of the distal part of the superior rectal artery with Ivalon controlled the rectal bleeding for 4 months. Lower gastrointestinal bleeding recurred and a recurrent lesion was re-embolized with Ivalon with excellent control of bleeding in a follow-up of 8 months. Embolization is an alternative to surgery for the treatment of rectal angiodysplasia and hopefully may result in a long-term cure.
一名51岁男性反复出现大量直肠出血,经检查发现患有巨大的直肠血管发育异常。使用Ivalon对上直肠动脉远端进行超选择性栓塞,控制直肠出血达4个月。下消化道出血复发,对复发病变再次用Ivalon进行栓塞,在8个月的随访中出血得到了很好的控制。栓塞是治疗直肠血管发育异常的一种替代手术的方法,有望实现长期治愈。