结肠血管发育不良伴大出血1例

Dr. Aniket Zarkar, Dr. Sushil Deshmukh
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摘要

结肠憩室出血是成人明显急性下消化道出血最常见的原因。憩室出血患者通常有大量便血,需要住院治疗。结肠镜检查是大多数患者的首选检查,尽管大量出血的患者可能需要计算机断层扫描(CT)血管造影,然后再进行血管造影。憩室出血的手术干预是为所有其他方式失败的患者保留的。结肠憩室出血是住院患者中最常见的便血(栗色或鲜红色血液)的原因,尽管憩室出血的病例比例在不同系列中有所不同。例如,在英国的一项多中心研究中,13%的病例归因于憩室出血,而在日本的一项多中心研究中,这一比例为63%。我们报告一例60岁男性患者,主诉腹部疼痛,直肠有血块(约500 - 600毫升)。
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Rare case of colonic angiodysplasia with massive bleeding
Colonic diverticular bleeding is the most common cause of overt, acute lower gastrointestinal bleeding in adults. Patients with diverticular bleeding usually experience large volume hematochezia and require hospitalization for management. Colonoscopy is the test of choice for most patients, although patients with massive bleeding may require computed tomography (CT) angiography followed by angiography. Surgical intervention for diverticular bleeding is reserved for patients who have failed all other modalities. Colonic diverticular bleeding is the most common cause of hematochezia (maroon or bright red blood) in hospitalized patients, although the proportion of cases attributed to diverticular bleeding varies across series. For example, 13 percent of cases were attributed to diverticular bleeding in a multicenter study in the United Kingdom versus 63 percent in a multicenter study in Japan. We present the case of 60 yrs old male patient who presented with the complaint of pain in abdomen and blood clots per rectum (Approx. 500 - 600 ml)
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