由于腹部结核病引起的大规模胃肠道出血的一个案例
Sai Krishna Reddy Bana1, Suja Lakshmanan1, Vaasanthi Rajendran1
1Department of General Medicine, Sri Ramachandra Medical College and Research Institute, Chennai, India.
Middle East journal of digestive diseases
|November 29, 2023
概括
腹结核可以导致严重的胃肠道出血. 这一案例突出了成功的血管栓塞治疗关动脉出血的成功,这是腹部结核病的罕见并发症.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 干预性放射学 干预性放射学
背景情况:
- 腹腔结核病 (TB) 是一个复杂的疾病.
- 胃肠道出血是腹部结核病的一种罕见但严重的并发症.
- 诊断可能具有挑战性,通常需要先进的成像和干预.
研究的目的:
- 报告一个严重的下胃肠道出血的情况,这是腹结核病的次要原因.
- 为了说明血管栓塞在治疗这种罕见并发症中的成功应用.
- 为了强调考虑腹部结核病在无法解释的胃肠道出血的患者的重要性.
主要方法:
- 一个年轻的男性患者患有腹部结核病的病例报告.
- 最初的表现是严重的腹痛和随后的大规模下部消化道出血.
- 诊断工作包括上部肠道内镜,结肠镜,增强对比度的计算机断层扫描 (CECT) 和选择性上层中枢动脉 (SMA) 血管学.
- 通过血管栓塞进行干预,以控制动脉出血.
主要成果:
- 通过CET检测出头的对比外流,这表明头动脉有泄漏.
- 选择性SMA血管图证实了出血部位.
- 血管栓塞成功阻止了出血.
- 门口结节的组织病理学证实了腹部结核病与上皮质粒瘤.
结论:
- 大规模的下肠道出血可能是腹部结核病的危及生命的并发症.
- 血管栓塞是一种有效的治疗在腹部结核病的动脉出血.
- 在这种情况下,早期诊断和及时干预对于有利的结果至关重要.
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