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儿童克罗恩氏病呈现为孤立的急性上GI出血:一个病例报告
Logan Norris1, Parker Giroux2, Traci Jester2
1Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
The American journal of case reports
|February 28, 2025
概括
这份病例报告详细介绍了一名患有克罗恩氏病 (CD) 的9岁男孩,该男孩出现了孤立的上部胃肠道出血. 它强调了在患有急性肠道出血的儿童中考虑炎症性肠病 (IBD) 的重要性.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 炎症性肠道疾病研究研究
- 胃肠道出血的原因 胃肠道出血的原因
背景情况:
- 克罗恩氏病 (CD) 发病率在全球范围内不断上升,儿科表现不同.
- 典型的儿科CD症状包括腹痛,腹和直肠出血.
- 孤立的上部胃肠道出血作为单独表现的胆结直肠CD是不常见的.
研究的目的:
- 报告一个罕见的儿童克罗恩病病例,仅表现为上部胃肠道出血.
- 为了强调非典型的炎症性肠病 (IBD) 在儿童中所带来的诊断挑战.
- 为了突出儿童急性胃肠道出血中IBD的高怀疑指数的必要性.
主要方法:
- 一个9岁男孩的病例报告,患有复发性血凝.
- 诊断工作包括食管胃管腺视镜 (EGD) 和胆管结肠镜.
- 组织病理学检查活检检查颗粒瘤.
主要成果:
- 最初呈现与隔离的血凝,后来需要复苏.
- EGD显示出出血的胃;活检显示出颗粒瘤.
- 结肠直肠镜检查证实了结肠直肠炎症带有和颗粒瘤,导致CD诊断.
结论:
- 这一案例强调了对儿童非典型炎症性肠病 (IBD) 呈现的临床意识提高的必要性.
- 怀疑的高指数对于诊断患有急性胃肠道出血的儿科患者至关重要.
- 早期识别和适当的管理,包括生物药物如因弗利西马布,对于儿科IBD至关重要.
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