Grant D J, Sanders D S, McMurdo M E, Lyall M H
Department of Medicine, Ninewells Hospital and Medical School, Dundee, UK.
Postgrad Med J. 1993 Apr;69(810):320-2. doi: 10.1136/pgmj.69.810.320.
We describe an elderly patient with generalized atherosclerosis who presented with recurrent iron-deficiency anaemia. He underwent right hemicolectomy which revealed ischaemic colonic ulceration caused by cholesterol embolism. Surgery appeared to be curative. Cholesterol embolism should be considered as a possible cause of unexplained gastrointestinal blood loss in the elderly.
我们描述了一位患有全身性动脉粥样硬化的老年患者,他出现了反复缺铁性贫血。他接受了右半结肠切除术,术中发现由胆固醇栓塞引起的缺血性结肠溃疡。手术似乎起到了治愈作用。胆固醇栓塞应被视为老年人不明原因胃肠道失血的一个可能原因。