Dieulafoy空肠病变导致的大量胃肠道出血：一例报告
Massive gastrointestinal bleeding due to a Dieulafoy jejunal lesion: a case report.
作者信息
González Zambrana Roberto José, Hernández Reyes Katerin Yaritza, Valladares Marion José, Pereira Santana Cristian Geovanny
机构信息
General Surgery Department, Hospital Escuela Oscar Danilo Rosales Argüello, Ministerio de Salud Nicaragua, Nicaragua; Hospital Escuela Oscar Danilo Rosales Argüello, First Av. East. Barrio el Sagrario, C.P. 21000 León, Nicaragua.
General Surgery Department, Hospital Escuela Oscar Danilo Rosales Argüello, Ministerio de Salud Nicaragua, Nicaragua; Hospital Escuela Oscar Danilo Rosales Argüello, First Av. East. Barrio el Sagrario, C.P. 21000 León, Nicaragua.
出版信息
Int J Surg Case Rep. 2025 Jun;131:111431. doi: 10.1016/j.ijscr.2025.111431. Epub 2025 May 13.
INTRODUCTION
Jejunal Dieulafoy lesions is a rare cause of gastrointestinal bleeding. Most cases are asymptomatic and require difficult surgical approaches even as endoscopic advancements have become available.
CASE PRESENTATION
We describe the case of a 19-year-old female who suffered a massive lower gastrointestinal bleeding, was hemodynamically unstable and needed blood transfusions. We performed an intraoperative enteroscopy which revealed a jejunal Dieulafoy lesion and proceeded to surgically resect and repair it by anastomosis. There were no negative outcomes during the hospitalization.
CLINICAL DISCUSSION
Surgery is required in less than 5 % of such cases, when bleeding cannot be controlled by endoscopic approach, angiography or when these methods are not available.
CONCLUSION
It is important to be aware of this lesion as a cause of gastrointestinal bleeding and differentiate it from other causes.
引言
空肠迪厄拉富瓦病损是胃肠道出血的罕见病因。大多数病例无症状，即便已有先进的内镜检查手段，其手术治疗仍颇具难度。
病例介绍
我们描述了一名19岁女性的病例，该患者发生大量下消化道出血，血流动力学不稳定，需要输血。我们进行了术中肠镜检查，发现一处空肠迪厄拉富瓦病损，随后通过吻合术进行了手术切除和修复。住院期间未出现不良后果。
临床讨论
当出血无法通过内镜检查、血管造影控制，或这些方法不可用时，此类病例中不到5%需要进行手术。
结论
认识到这种病损是胃肠道出血的病因并将其与其他病因相鉴别很重要。
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