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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.

DOI:10.7759/cureus.89940
PMID:40951003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12426291/
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/6a47/12426291/4fc89d091e3c/cureus-0017-00000089940-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a47/12426291/ab23140ba2d7/cureus-0017-00000089940-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a47/12426291/4fc89d091e3c/cureus-0017-00000089940-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a47/12426291/ab23140ba2d7/cureus-0017-00000089940-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a47/12426291/4fc89d091e3c/cureus-0017-00000089940-i02.jpg

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1
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本文引用的文献

1
Clinical features, treatments and prognosis of appendiceal bleeding: a case series study.阑尾出血的临床特征、治疗方法和预后：病例系列研究。
BMC Gastroenterol. 2023 Nov 3;23(1):377. doi: 10.1186/s12876-023-03025-6.
2
A case of laparoscopic appendectomy for appendiceal bleeding.一例因阑尾出血行腹腔镜阑尾切除术的病例。
Surg Case Rep. 2023 Oct 16;9(1):179. doi: 10.1186/s40792-023-01760-2.
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Appendiceal bleeding: A case report.阑尾出血：一例病例报告。
World J Clin Cases. 2022 Jun 26;10(18):6314-6318. doi: 10.12998/wjcc.v10.i18.6314.
4
Appendiceal bleeding in an elderly male: a case report and a review of the literature.老年男性阑尾出血：一例病例报告及文献复习
Surg Case Rep. 2021 Jun 23;7(1):147. doi: 10.1186/s40792-021-01234-3.
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An Unusual Cause of Acute Massive Lower Gastrointestinal Bleeding.急性大量下消化道出血的一种罕见病因。
Gastroenterology. 2020 May;158(6):1550-1551. doi: 10.1053/j.gastro.2019.08.057. Epub 2019 Sep 24.
6
Hematochezia due to Angiodysplasia of the Appendix.阑尾血管发育异常导致的便血
Ann Coloproctol. 2016 Jun;32(3):117-9. doi: 10.3393/ac.2016.32.3.117. Epub 2016 Jun 30.
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The Evolving Role of Computed Tomographic Angiography for Lower Gastrointestinal Hemorrhage.
JAMA Surg. 2015 Jul;150(7):657. doi: 10.1001/jamasurg.2015.117.
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Outcomes in Dieulafoy's Lesion: A 10-Year Clinical Review.Dieulafoy病的治疗结果：一项为期10年的临床回顾。
Dig Dis Sci. 2015 Jul;60(7):2097-103. doi: 10.1007/s10620-015-3568-1. Epub 2015 Feb 8.
9
Appendiceal Dieulafoy lesion: an unusual cause of massive lower gastrointestinal bleeding.阑尾迪厄拉富瓦病变：大量下消化道出血的罕见原因。
Am Surg. 2015 Jan;81(1):E18-9.
10
A therapeutic barium enema is a practical option to control bleeding from the appendix.经肛门钡剂灌肠治疗是控制阑尾出血的一种实用选择。
BMC Gastroenterol. 2013 Oct 25;13:152. doi: 10.1186/1471-230X-13-152.