Tooson J D, Marsano L S, Gates L K
Division of Digestive Diseases and Nutrition, University of Kentucky College of Medicine, Lexington, USA.
Am J Gastroenterol. 1995 Dec;90(12):2232-3.
Dieulafoy's lesions are an unusual cause of gastrointestinal hemorrhage. The overwhelming majority of lesions are found in the upper gastrointestinal tract, particularly along the lesser curvature of the stomach in the region supplied by the left gastric artery. Rectal Dieulafoy's lesions have never before been reported in the pediatric population, and our case represents only the third reported occurrence of a rectal Dieulafoy's lesion in the English medical literature. Successful treatment was administered, i.e., the combination of sclerotherapy followed by thermocoagulation. We therefore recommend that rectal Dieulafoy's lesion be included in the differential diagnosis of children with severe rectal bleeding and that management follow the same principles used to treat upper gastrointestinal tract Dieulafoy's lesions: injection therapy followed by heater probe coagulation.
迪厄拉富瓦病损是胃肠道出血的一种罕见病因。绝大多数病损见于上消化道，特别是在胃小弯由胃左动脉供血的区域。小儿直肠迪厄拉富瓦病损此前从未有过报道，我们的病例是英文医学文献中仅有的第三例直肠迪厄拉富瓦病损报道。给予了成功的治疗，即硬化疗法联合热凝术。因此，我们建议将直肠迪厄拉富瓦病损纳入严重直肠出血患儿的鉴别诊断，且治疗应遵循用于治疗上消化道迪厄拉富瓦病损的相同原则：注射疗法后行热探头凝固术。
