梅克尔憩室:引起反复消化道出血的原因

Q4 Medicine
V. V. Polovinkin, S. V. Khmelik, Liu Zheng
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引用次数: 0

摘要

背景:隐蔽性胃肠道出血占所有胃肠道出血的5%-30%,仍然是一个挑战,通常起源于小肠。临床病例:我们报告一位女性患者在3个月内出现3次消化道出血的症状而住院。我们不能用标准方法确定出血的来源,如腹部计算机断层扫描和超声检查、食管胃十二指肠镜检查和结肠镜检查。我们在诊断性腹腔镜检查中发现了梅克尔憩室,并进行了小肠楔形切除术。组织病理学结果显示小肠憩室壁急性进行性溃疡。结论:诊断性腹腔镜是一种可用的微创手术,在某些情况下可以成功识别小肠出血的来源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Meckel’s diverticulum: a cause of recurrent gastrointestinal bleeding
Background: Obscure gastrointestinal bleedings accounting for 5%-30% of all gastrointestinal bleedings continue to be a challenge and usually originate from the small bowel. Clinical case: We present a case of a female patient hospitalized with signs of gastrointestinal bleeding three times within 3 months. We could not identify the source of bleeding using standard methods, such as abdominal computed tomography and ultrasonography, esophagogastroduodenoscopy, and colonoscopy. We detected a Meckel’s diverticulum during a diagnostic laparoscopy and performed wedge resection of the small bowel. Histopathology results revealed an acute progressive ulcer in the wall of the small bowel diverticulum. Conclusions: Diagnostic laparoscopy is one of the available minimally invasive procedures, which in some cases can successfully identify the source of small bowel bleeding.
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来源期刊
Innovatsionnaia meditsina Kubani
Innovatsionnaia meditsina Kubani Medicine-General Medicine
CiteScore
0.40
自引率
0.00%
发文量
34
审稿时长
6 weeks
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