Vajda K, Svébis M
Megyei Kórház Kecskemét, Altalános Sebészet.
Orv Hetil. 1997 Feb 9;138(6):355-7.
Gastrointestinal bleeding of unknown origin presents a difficult diagnostic problem. The authors show 2 angiodys plasiastic cases. In the first case the clinical history contains multiple examinations and transfusions because of anaemia. The diagnosis was achieved by selective angiography. In the antrum of the stomach justified angiodysplasia was accompanied by aortic valve disease. Billroth I. operation was performed. In the other case anoscopy, colonoscopy and gastroscopy was necessary because of massive rectal bleeding but in the lack of bleeding source they performed right hemicolectomy due to hypothetical cecum angiodysplasia. The supposed diagnosis was proven by histology.
in the case of unknown bleeding sources especially in older patients angiodysplasia should be considered more often and selective angiography should be indicated.
不明原因的胃肠道出血是一个诊断难题。作者展示了2例血管发育异常病例。在第一例中，临床病史包含因贫血进行的多次检查和输血。通过选择性血管造影确诊。胃窦部确诊的血管发育异常伴有主动脉瓣疾病。实施了毕罗一世式手术。在另一例中，因大量直肠出血进行了肛门镜检查、结肠镜检查和胃镜检查，但由于未发现出血源，因推测盲肠血管发育异常而实施了右半结肠切除术。推测的诊断经组织学证实。
在出血源不明的情况下，尤其是老年患者，应更频繁地考虑血管发育异常，并应进行选择性血管造影。
