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由于内动脉动脉瘤的直肠侵袭而引起的血:一个病例报告
Fang Li1, Bin Zhao1, Yong-Qiang Liu1
1Department of General Surgery, Chongqing General Hospital, Chongqing 401147, China.
World journal of clinical cases
|April 25, 2024
概括
本病例报告详细介绍了一种罕见的严重血病例,由内动脉动脉瘤引起,形成了动脉肠. 它强调了在胃肠道出血诊断中考虑血管起源的关键需要.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
背景情况:
- 血症通常归因于常见的胃肠道原因.
- 很少,血管异常如动脉瘤可以呈现为胃肠道出血.
- 内动脉动脉瘤导致动脉肠囊是异常罕见的出血的原因.
研究的目的:
- 报告一种罕见的血液瘤病例,由内动脉动脉瘤和动脉肠道囊引起.
- 强调在非典型的胃肠道出血中考虑血管起源的重要性.
主要方法:
- 一名75岁的男性患有高血压,呈现出严重的血.
- 最初的CT扫描显示内动脉动脉瘤破裂;进行了血管造影和支架放置.
- 探索性腹腔切除术揭示了动脉瘤的直肠入侵,需要部分直肠切除和结节切除.
主要成果:
- 患者经历了成功的内血管修复和随后的手术切除.
- 手术后恢复没有任何事件,在六个月后没有再次出血.
- 诊断因同时出现的直肠瘤而复杂化.
结论:
- 血管原因,如动脉瘤引起的动脉肠,必须纳入无法解释的血症的差异诊断.
- 涉及血管外科,胃肠病学和放射学的多学科管理对于诊断和治疗至关重要.
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