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问题重重的恶性囊袋:一例具有挑战性的空肠憩室出血继发大量出血病例

Pernicious Pouch of Problems: A Challenging Case of Massive Hemorrhage Secondary to Jejunal Diverticular Bleeding.

作者信息

Reed Tyler J, Zimmer Sarah K, Nelson Nicholas T, Bush Allison M

机构信息

Internal Medicine, Naval Medical Center Portsmouth, Portsmouth, USA.

Interventional Radiology, Naval Medical Center Portsmouth, Portsmouth, USA.

出版信息

Cureus. 2024 Nov 27;16(11):e74590. doi: 10.7759/cureus.74590. eCollection 2024 Nov.

Abstract

Small bowel (SB) diverticulosis is an uncommon diagnosis and a rare cause of gastrointestinal (GI) bleeding. A particularly rare form of SB diverticular disease, jejunal diverticulosis, is usually discovered due to complications, such as hemorrhage, obstruction, or perforation. Owing in part to its rarity, jejunal diverticular bleeding can be difficult to identify and treat, resulting in increased morbidity and mortality. Here, we present the case of a 57-year-old female with recurrent massive GI hemorrhage from a jejunal diverticular vessel that was ultimately diagnosed and successfully managed endoscopically.

摘要

小肠憩室病是一种不常见的诊断,也是胃肠道出血的罕见原因。空肠憩室病是小肠憩室病中一种特别罕见的形式,通常因出血、梗阻或穿孔等并发症而被发现。部分由于其罕见性,空肠憩室出血可能难以识别和治疗,从而导致发病率和死亡率增加。在此,我们报告一例57岁女性患者,其因空肠憩室血管反复大量胃肠道出血,最终经内镜诊断并成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8798/11675453/406cf3e5558f/cureus-0016-00000074590-i01.jpg

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