重复严重的贫血与怀孕期间的状动脉静脉形相关:一个病例报告
Kazuhiko Oka1, Akihiro Hasegawa1, Hayato Mikuni2
1Department of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.
Case reports in women's health
|November 13, 2023
概括
这一案例突出了一个孕妇患有严重贫血,其原因是小肠道动脉静脉形形. 及时调查对于诊断怀孕期间这种罕见但严重的疾病至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 血管形症 血管形症
背景情况:
- 小肠动脉静脉形形 (AVM) 是胃肠道出血的罕见原因.
- 这些血管异常在怀孕期间很少遇到.
- 本报告详细介绍了一例与小肠AVM相关的怀孕期间重复严重贫血病例.
研究的目的:
- 提出一个孕妇患有严重贫血的病例,原因是小肠道动脉静脉形缺陷.
- 强调在怀孕期间严重贫血的差异诊断中考虑小肠AVM的重要性.
- 要突出诊断和管理方法在孕妇患者的这种情况.
主要方法:
- 一个24岁的孕妇患有复发性严重贫血的病例介绍.
- 诊断工作包括血红蛋白水平监测,便隐性血液检测,小肠囊内镜和柔性光纤内镜.
- 手术干预涉及部分小肠切除,由他的病理学证实.
主要成果:
- 这名患者在两次怀孕中呈现出极低的血红蛋白水平,需要频繁输血和早期剖腹产.
- 内镜评估发现了出血的小肠动脉静脉形形.
- 组织病理学检查证实了切割后小肠道动脉静脉形缺陷的诊断.
结论:
- 小肠动脉静脉形可以在怀孕期间出现显著的出血,导致严重的贫血.
- 这些病变可能会在产后消失,可能导致错过诊断.
- 小肠AVM出血应该是严重贫血的孕妇的关键考虑因素,即使没有明显的胃肠道出血症状.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
73
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
73
Disorders of Erythrocytes
953
Disorders of erythrocytes, or red blood cells (RBCs), include a range of conditions affecting their number, shape, or function.
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
953
Esophageal Perforation-II: Clinical Manifestations and Management
69
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
69
Esophageal Varices-I: Introduction
153
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
153
Blood Supply to the Digestive System
1.5K
Splanchnic circulation refers to the network of blood vessels that supply and drain blood from the abdominal organs involved in digestion, including the stomach, liver, pancreas, intestines, and spleen. This circulation delivers essential nutrients and oxygen while removing waste products from these organs.
Blood Supply to the Digestive System: The splanchnic circulation involves three main arteries: the celiac artery (also known as the celiac trunk) and the superior and inferior mesenteric...
Blood Supply to the Digestive System: The splanchnic circulation involves three main arteries: the celiac artery (also known as the celiac trunk) and the superior and inferior mesenteric...
1.5K
Fetal Circulation
1.0K
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
1.0K


