Volmer J, Semler P
Z Gastroenterol. 1983 Sep;21(9):550-5.
Report on a patient with bleeding angiodysplasia of the ascending colon. The clinical course was characteristic for this kind of lesions: long-term, chronic, recurrent intestinal hemorrhages with a gradual increase of anemia. Diagnosis was complicated by lack of success in finding the source of the hemorrhage and by evidence of various pathological findings. Histologically, there were vessel variations typical for angiodysplasia and, furthermore, cholesterol emboli of the submucosal colic arteries. The latter's pathogenetic role as trigger for the hemorrhage is discussed.
升结肠出血性血管发育异常患者报告。该病变的临床病程具有以下特点:长期、慢性、反复肠道出血,且贫血逐渐加重。由于未能成功找到出血源以及存在各种病理检查结果,诊断过程较为复杂。组织学检查显示,存在血管发育异常典型的血管变异,此外,还有结肠黏膜下动脉的胆固醇栓子。文中讨论了后者作为出血触发因素的致病作用。