Hsu C H, Wang J Y, Hung C F
Department of Colorectal Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi. 1995 Sep;18(3):280-4.
Angiodysplasia is an important cause of gastrointestinal bleeding which occurs mostly common in the right side of the colon, usually in the elderly but sometimes in younger adults. Herein, a case of rare clinical association-adenomatous colonic polyp with submucosal angiodysplasia in a forty year old man, who had repeated intestinal bleeding, is reported. We think colon polyps inducing intestinal blood loss may be caused by unidentified angiodysplasia. The diagnosis of these lesions is very difficult, so mesenteric angiography is recommended. Although various therapeutic methods were suggested, in patients who have repeated bleeding or are chronic anemics, resection of the involved segment of the bowel is the treatment of choices.
血管发育异常是胃肠道出血的一个重要原因,多见于结肠右侧,通常发生于老年人,但有时也见于年轻人。本文报道了一例罕见的临床关联病例,一名40岁男性患有结肠腺瘤性息肉合并黏膜下血管发育异常,反复出现肠道出血。我们认为,导致肠道失血的结肠息肉可能是由不明原因的血管发育异常引起的。这些病变的诊断非常困难,因此建议进行肠系膜血管造影。尽管提出了各种治疗方法,但对于反复出血或慢性贫血的患者,切除受累肠段是首选的治疗方法。