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致阑尾出血的Dieulafoy病:一例报告

Dieulafoy's Disease Causing Appendiceal Hemorrhage: A Case Report.

作者信息

Liu Ruitao, Yan Yang, Chen Guibing

机构信息

Surgery, Chengdu Medical College, Chengdu, CHN.

Gastrointestinal Surgery, The First Affiliated Hospital of Chengdu Medical College, Chengdu, CHN.

出版信息

Cureus. 2025 Aug 12;17(8):e89940. doi: 10.7759/cureus.89940. eCollection 2025 Aug.

Abstract

Dieulafoy's disease is an uncommon but potentially life-threatening vascular anomaly characterized by a dilated, aberrant submucosal artery that causes mucosal erosion and significant gastrointestinal bleeding. While most frequently located in the proximal stomach, Dieulafoy's lesions can occur anywhere in the GI tract. Involvement of the appendix is exceedingly rare and may pose a diagnostic challenge due to the inconspicuous nature of the lesion and its inaccessibility via routine endoscopy. We present a rare case of appendiceal Dieulafoy's disease manifesting as isolated lower gastrointestinal bleeding.

摘要

迪厄拉富瓦病是一种罕见但可能危及生命的血管异常疾病,其特征为黏膜下动脉扩张、走行异常,可导致黏膜糜烂和严重的胃肠道出血。虽然迪厄拉富瓦病最常位于胃近端,但也可发生于胃肠道的任何部位。阑尾受累极为罕见,由于病变不明显且通过常规内镜检查难以触及,可能会带来诊断挑战。我们报告一例罕见的阑尾迪厄拉富瓦病,表现为孤立性下消化道出血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a47/12426291/ab23140ba2d7/cureus-0017-00000089940-i01.jpg

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