Tanabe I D, DiTomaso A, Pinkas H, Pencev D
Department of Medicine, University of South Florida, Tampa.
Am J Gastroenterol. 1995 Mar;90(3):504-5.
We describe an unusual case of a 32-yr-old man who presented with massive GI hemorrhage as an initial manifestation of an ileal duplication cyst. The lesion was first revealed by visceral angiography during investigation of the bleeding source. At laparotomy, a large ileal duplication containing full-thickness gastric-type mucosa was identified. Ulceration of the ileal mucosa adjacent to the communicating orifice was found to be the source of bleeding. Duplications of the alimentary tract are rare congenital malformations. Patients usually present in infancy and childhood, although delayed complications can present in adulthood. This entity should be considered among other lesions that can cause massive GI hemorrhage not diagnosable by endoscopy.
我们描述了一例不同寻常的病例，一名32岁男性，以大量胃肠道出血为回肠重复囊肿的初始表现。在对出血源进行检查期间，内脏血管造影首次发现了该病变。剖腹手术时，发现一个大的回肠重复囊肿，其中含有全层胃型黏膜。发现与连通口相邻的回肠黏膜溃疡是出血源。消化道重复畸形是罕见的先天性畸形。患者通常在婴儿期和儿童期出现症状，不过成年期也可能出现延迟并发症。对于其他可导致大量胃肠道出血且内镜检查无法诊断的病变，应考虑到这一疾病。
