Kurihara H, Mochizuki H, Yamamoto S, Tamakuma S, Makita K, Furui S, Terahata S, Tamai S
First Department of Surgery, National Defense Medical College, Saitama, Japan.
Surg Today. 1994;24(6):552-5. doi: 10.1007/BF01884578.
We report herein the case of a 43-year-old man in whom gastrointestinal bleeding was found to be caused by a large arteriovenous malformation (AVM) in the ileum. Emergency angiography proved invaluable in disclosing the AVM as the bleeding source, after which the patient was successfully treated by surgery. Although the number of reports of AVM has recently been increasing, ileal AVMs are still relatively rare. Moreover, according to the Japanese literature, no other patient has had such marked and large feeding arteries and draining veins as those in the patient described in this report.
我们在此报告一例43岁男性患者，其胃肠道出血被发现是由回肠的一个大型动静脉畸形（AVM）所致。急诊血管造影在揭示该AVM为出血源方面证明具有极高价值，之后患者通过手术获得成功治疗。尽管近期关于AVM的报告数量一直在增加，但回肠AVM仍然相对罕见。此外，根据日本文献，尚无其他患者具有本报告中所述患者那样明显且粗大的供血动脉和引流静脉。
