一名健康21岁患者以消化道出血形式出现的后鼻孔出血：病例报告
Posterior Epistaxis Presenting as Upper GI Bleeding in A Healthy 21-Year-Old Patient: A Case Report.
作者信息
AlRajabi Aref, AbuIrayyeh Bara M, Shawabka Amal M, Jabari Anwar Yousef, Jabari Sami D, Ibraheem Kareem
机构信息
Faculty of Medicine Palestine Polytechnic University Hebron Palestine.
Palestinian Clinical Research Center Bethlehem Palestine.
出版信息
Clin Case Rep. 2025 Mar 24;13(4):e70355. doi: 10.1002/ccr3.70355. eCollection 2025 Apr.
A 21-year-old Palestinian woman experienced recurrent hematemesis and melena over 7 months, requiring multiple hospital admissions and blood transfusions. Despite extensive investigations, the bleeding source remained undetermined until a posterior nasal bleed was suspected. Flexible rhinoscopy revealed a dilated sphenopalatine artery, and she was successfully treated with endovascular intervention. It is important for the Gastroenterologists to consider nasal endoscopy for patients with unexplained UGIB.
一名21岁的巴勒斯坦女性在7个月内反复出现呕血和黑便，需要多次住院并输血。尽管进行了广泛的检查，但出血源一直未明确，直到怀疑是鼻后出血。鼻内镜检查发现蝶腭动脉扩张，她通过血管内介入治疗成功治愈。对于不明原因上消化道出血的患者，胃肠病学家考虑进行鼻内镜检查很重要。
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