Migou S, Hashizume M, Tsugawa K, Kishihara F, Kawanaka H, Ohta M, Tanoue K, Kuroiwa T, Kawamoto K, Sugimachi K
Department of Surgery II, Department of Radiology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Hepatogastroenterology. 1998 Mar-Apr;45(20):503-7.
This report describes a 38-year-old man with massive gastrointestinal bleeding from jejunal varices. He had been previously diagnosed to have idiopathic portal hypertension and esophageal varices, and had undergone an esophageal transection 8 years earlier. The pre-operative diagnosis was a suspected hemorrhage from the small intestine as visualized by 99mTc-HSAD scintigraphy (technetium 99m-labeled human serum albumin D-type) and was not considered to be repeated massive lower GI tract bleeding. An exploratory laparotomy was performed, and intra-operative endoscopy revealed active bleeding from the jejunal varices. A partial resection of the small intestine resulted in a complete resolution of the bleeding. A review of the literature thereafter disclosed twelve previously reported cases of jejunal variceal bleeding.
本报告描述了一名38岁男性，因空肠静脉曲张导致大量胃肠道出血。他此前被诊断为特发性门静脉高压和食管静脉曲张，并于8年前接受了食管横断术。术前诊断为疑似小肠出血，经99mTc-HSAD闪烁扫描（99m锝标记的人血清白蛋白D型）显示，且不认为是反复大量下消化道出血。进行了剖腹探查术，术中内镜检查发现空肠静脉曲张有活动性出血。小肠部分切除术使出血完全停止。此后查阅文献发现了12例先前报道的空肠静脉曲张出血病例。
