在一个健康的21岁的病人身上,后部表呈现为上部肠道出血:一个病例报告
Aref AlRajabi1, Bara M AbuIrayyeh1, Amal M Shawabka1
1Faculty of Medicine Palestine Polytechnic University Hebron Palestine.
Clinical case reports
|March 26, 2025
概括
胃肠道科医生应考虑鼻腔内镜,以找出无法解释的上部胃肠道出血 (UGIB). 鼻子中的扩大膜动脉是一名患者出血的来源,通过内血管干预成功治疗.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 复发的上部胃肠道出血 (UGIB) 可能是具有挑战性的诊断.
- 无法解释的UGIB往往需要进行广泛和侵入性的调查.
- 叶关动脉是潜在的出血源,在UGIB评估中通常不考虑.
研究的目的:
- 为了突出一种罕见的原因,无法解释的上部胃肠道出血.
- 强调鼻腔内镜在诊断不清晰的胃肠道出血方面的实用性.
- 展示一个用内血管干预成功治疗的病例.
主要方法:
- 一个21岁的女性病例报告,患有复发性血凝和黑色素.
- 诊断工作包括对UGIB进行广泛的调查.
- 进行灵活鼻腔镜检查可疑的后鼻出血.
- 血管内干预被用于治疗.
主要成果:
- 经常性出血的来源被确定为扩张的叶关动脉.
- 患者接受了成功的内血管治疗.
- 干预后实现了血和黑色素的分离.
结论:
- 鼻腔内镜应被考虑在诊断算法中,对于患者有不明原因的上部胃肠道出血.
- 腹关动脉是一个潜在的,虽然很少见的,显著的胃肠道出血的来源.
- 内血管技术为这种血管异常提供了可行的治疗选择.
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