Quintáns Rodríguez A, Hernández Granados P, Serantes Gómez A, Fiuza Marco C, Menárguez Palanca J
Sección de Cirugía de Urgencia, Hospital General Gregorio Marañón, Madrid.
Rev Esp Enferm Dig. 1993 Jul;84(1):61-3.
Nonspecific colon ulcers are a rare disease which may produce lower gastrointestinal bleeding. A history of previous nonsteroidal anti-inflammatory drugs ingestion may be recorded in most patients. The right colon is the main location, being the cecum the most frequent site. However, they may be distributed in all the large intestine, including the rectum. We present a case of lower massive gastrointestinal hemorrhage produced by nonspecific colic ulcers requiring emergency total colectomy. Although infrequent, they have to be considered in every patient with lower gastrointestinal bleeding and previous nonsteroidal anti-inflammatory drugs ingestion.
非特异性结肠溃疡是一种罕见疾病,可导致下消化道出血。大多数患者可能有既往服用非甾体抗炎药的病史。右半结肠是主要发病部位,盲肠是最常见的发病部位。然而,它们也可能分布于整个大肠,包括直肠。我们报告一例因非特异性结肠溃疡导致下消化道大量出血而需急诊行全结肠切除术的病例。尽管罕见,但对于每一位有下消化道出血且既往服用过非甾体抗炎药的患者都应考虑到该病。