洞性血管瘤:一种罕见的胃肠道出血的原因
Catarina Neto do Nascimento1, Diogo Albergaria2, Delfina Brito3
1Gastroenterology, Hospital Beatriz Ângelo, Portugal.
一种罕见的胃肠道出血原因 - - 洞穴性阴血栓瘤 - - 在一名69岁的男性中被诊断出. 小肠囊内镜检查发现了导致手术切除和最终诊断的病变.
科学领域:
- 胃肠病学 胃肠病学
- 血管形症 血管形症
- 手术病理学手术病理学
背景情况:
- 胃肠道出血是一种常见的临床表现,需要准确的诊断.
- 小肠病理可能很难通过标准内镜检查来确定.
- 血管形,虽然很少见,但必须考虑在模糊的胃肠道出血病例.
研究的目的:
- 报告一个由状血管瘤引起的模糊胃肠道出血病例.
- 突出囊内镜在识别小肠病变方面的诊断实用性.
- 讨论洞穴性阴血栓瘤的管理.
主要方法:
- 一个69岁的男性呈现出 melaena 和模糊的胃肠道出血.
- 最初的上部和下部内镜检查结果不确切.
- 小肠囊内镜检查显示,近端内有多个紫色病变.
- 为诊断和治疗,进行了细分肠切除.
主要成果:
- 囊内镜成功地将出血的来源确定为骨病变.
- 组织病理学检查证实了洞穴性阴血管瘤的诊断.
- 患者的出血在手术切除后得到解决.
结论:
- 洞穴性内膜血管瘤是一种罕见但重要的胃肠道出血的原因.
- 囊内镜是诊断小肠异常的一个有价值的工具.
- 手术切除是症状性阴血管瘤的有效治疗方法.
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