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一名患有室间隔缺损的年轻患者左结肠动静脉畸形大量出血。

Massive bleeding from left colonic arteriovenous malformation in a young patient with ventricular septal defect.

作者信息

Jung G M, Bak Y T, Know O S, Oh J H, Kim J S, Kim J H, Keum J H, Park C M, Cha I H, Kim K I, Kim H K

机构信息

Department of Internal Medicine, Korea University Guro Hospital, Seoul, Korea.

出版信息

Korean J Intern Med. 1998 Feb;13(1):56-9. doi: 10.3904/kjim.1998.13.1.56.

DOI:10.3904/kjim.1998.13.1.56
PMID:9538633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4531932/
Abstract

Arteriovenous malformation of the gut is well known to have been an important bleeding focus in past ages. We report a young Korean male patient, who had been known to have ventricular septal defect, presenting massive lower gastrointestinal bleeding from an arteriovenous malformation involving a long segment of the left colon. Angiographic, gross and histologic findings are presented and the literature is reviewed.

摘要

肠道动静脉畸形在过去一直是重要的出血病灶,这一点广为人知。我们报告一例年轻的韩国男性患者,他已知患有室间隔缺损,因累及左半结肠长段的动静脉畸形而出现大量下消化道出血。本文展示了血管造影、大体及组织学检查结果,并对相关文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/4531932/3300ab595eea/kjim-13-1-56-10f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/4531932/815dc385ede4/kjim-13-1-56-10f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/4531932/acb4cbd4ab4a/kjim-13-1-56-10f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/4531932/82998c9bc11f/kjim-13-1-56-10f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/4531932/6c453f3a9b98/kjim-13-1-56-10f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/4531932/3300ab595eea/kjim-13-1-56-10f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/4531932/815dc385ede4/kjim-13-1-56-10f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/4531932/acb4cbd4ab4a/kjim-13-1-56-10f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/4531932/82998c9bc11f/kjim-13-1-56-10f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/4531932/6c453f3a9b98/kjim-13-1-56-10f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff1/4531932/3300ab595eea/kjim-13-1-56-10f5.jpg

相似文献

1
Massive bleeding from left colonic arteriovenous malformation in a young patient with ventricular septal defect.一名患有室间隔缺损的年轻患者左结肠动静脉畸形大量出血。
Korean J Intern Med. 1998 Feb;13(1):56-9. doi: 10.3904/kjim.1998.13.1.56.
2
Arteriovenous malformations as a cause of gastrointestinal bleeding: the importance of triple-vessel angiographic studies in diagnosis and prevention of rebleeding.动静脉畸形作为胃肠道出血的一个原因:三支血管造影研究在诊断和预防再出血中的重要性。
J Clin Gastroenterol. 1985 Jun;7(3):237-46. doi: 10.1097/00004836-198506000-00010.
3
Chronic intestinal bleeding due to arteriovenous malformation of the colon.结肠动静脉畸形所致的慢性肠道出血。
Acta Pathol Jpn. 1978 Mar;28(2):313-8. doi: 10.1111/j.1440-1827.1978.tb00543.x.
4
A case of pedunculated arteriovenous malformation presenting with massive hematochezia.一例以大量便血为表现的带蒂动静脉畸形病例。
Gastrointest Endosc. 2000 Jan;51(1):96-7. doi: 10.1016/s0016-5107(00)70400-7.
5
The value of precise preoperative localization of colonic arteriovenous malformation in childhood.儿童期结肠动静脉畸形术前精确定位的价值。
Am J Gastroenterol. 1993 Mar;88(3):443-6.
6
Arteriovenous malformation of the colon, a source of massive low intestinal hemorrhage.结肠动静脉畸形,大量下消化道出血的一个原因。
J Med Soc N J. 1975 Jan;72(1):34-6.
7
Bleeding from polypoid colonic arteriovenous malformations.息肉样结肠动静脉畸形出血。
Am J Gastroenterol. 1996 Mar;91(3):584-6.
8
Colonic venous malformation and portal hypertension: association, management, and review of the literature.结肠静脉畸形与门静脉高压:关联、管理及文献综述
Pediatr Surg Int. 2012 Apr;28(4):435-8. doi: 10.1007/s00383-011-3041-y. Epub 2012 Jan 3.
9
Pancreatic arteriovenous malformation involving adjacent duodenum in a patient with gastrointestinal bleeding.一名患有胃肠道出血的患者出现累及相邻十二指肠的胰腺动静脉畸形。
Am J Gastroenterol. 1995 Jul;90(7):1151-4.
10
Use of endoclips to obliterate a colonic arteriovenous malformation before cauterization.在烧灼前使用内夹闭塞结肠动静脉畸形。
Gastrointest Endosc. 2006 May;63(6):865-6. doi: 10.1016/j.gie.2005.10.020.

本文引用的文献

1
Bleeding from polypoid colonic arteriovenous malformations.息肉样结肠动静脉畸形出血。
Am J Gastroenterol. 1996 Mar;91(3):584-6.
2
The value of precise preoperative localization of colonic arteriovenous malformation in childhood.儿童期结肠动静脉畸形术前精确定位的价值。
Am J Gastroenterol. 1993 Mar;88(3):443-6.
3
Arteriovenous malformations of the gastrointestinal tract.胃肠道动静脉畸形
Clin Radiol. 1981 Nov;32(6):623-8. doi: 10.1016/s0009-9260(81)80324-8.
4
Arteriovenous malformations of the bowel: an analysis of 22 cases and a review of the literature.
Medicine (Baltimore). 1981 Jan;60(1):36-48. doi: 10.1097/00005792-198101000-00004.
5
Colonoscopic diagnosis and treatment of arteriovenous malformations in chronic lower gastrointestinal bleeding. Clinical accuracy and efficacy.慢性下消化道出血中动静脉畸形的结肠镜诊断与治疗。临床准确性和疗效。
Dis Colon Rectum. 1988 Feb;31(2):107-10. doi: 10.1007/BF02562639.
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Reassessment of the association between gastrointestinal arteriovenous malformations and aortic stenosis.
Am J Med. 1989 Mar;86(3):275-7. doi: 10.1016/0002-9343(89)90295-7.
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Arteriovenous malformations of the gastrointestinal tract.
Arch Surg. 1976 Apr;111(4):381-9. doi: 10.1001/archsurg.1976.01360220077013.
8
The pathophysiologic basis for the angiographic signs of vascular ectasias of the colon.结肠血管扩张造影征象的病理生理基础。
Radiology. 1977 Dec;125(3):615-21. doi: 10.1148/125.3.615.
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Bleeding vascular malformations of the intestine.肠道出血性血管畸形
Surgery. 1978 Sep;84(3):430-6.
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Angiodysplasia of the right colon: a cause of gastrointestinal bleeding.
AJR Am J Roentgenol. 1977 Nov;129(5):789-94. doi: 10.2214/ajr.129.5.789.