直肠血栓瘤是一种罕见的胃肠道下部出血的原因,用选择性栓塞治疗:一个病例报告
Barbora Pospisilova1, Jaromir Frydrych2, Antonin Krajina3
1Department of Internal Medicine, Hospital in Frydek-Mistek, Frydek-Mistek 73801, Czech Republic. pospisilovab@nemfm.cz.
World journal of gastrointestinal surgery
|September 2, 2024
概括
选择性栓塞为罕见的异位直肠血管瘤提供了最少的侵入性治疗方法,导致胃肠道出血. 这种方法改善了患者的治疗结果,避免了危险的手术和失禁.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 直肠血栓瘤是一种罕见的胃肠道下部出血的原因,经常被误诊.
- 由于误诊,患者可能会接受不必要的治疗,例如性结肠炎.
- 症状性贫血和便失禁的风险是未经治疗的直肠血管瘤的潜在并发症.
研究的目的:
- 将选择性栓塞作为直肠血管瘤的最小侵入性治疗选择.
- 突出诊断的挑战和这种罕见的疾病的适当管理.
主要方法:
- 一个21岁男性的案例研究,有童年直肠出血史,最初治疗性结肠炎.
- 诊断工作揭示了直肠血管瘤,一种血管病变.
- 作为治疗干预措施,进行了微创选择性栓塞.
主要成果:
- 患者在选择性栓塞后经历了显著的暂时改善.
- 在手术后出现了一种小缺血性,它在没有狭窄的情况下愈合.
- 最少侵入性的方法避免了与手术选择相关的便失禁的高风险.
结论:
- 提高对胃肠道血管瘤的临床和放射性特征的认识,对于准确诊断至关重要.
- 选择性栓塞是一种可行的替代治疗方法,用于直肠血管瘤.
- 早期和准确的诊断可以防止不适当的治疗,并改善患者的管理.
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