十二指肠 Dieulafoy 病变引发危及生命的消化道出血:病例报告。

Jun Hyuk Son
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引用次数: 0

摘要

Dieulafoy 病变是一种罕见的消化道出血病因,约占所有消化道出血病例的 1-2%。Dieulafoy 病变通常发生在胃小弯,距离胃食管交界处 6 厘米以内。另一方面,胃外 Dieulafoy 病变并不常见。由于胃外蝶拉佛伊病变体积小、位置不明显,因此通过内窥镜诊断胃外蝶拉佛伊病变具有挑战性。准确诊断的关键因素包括提高警惕和在出血发作后尽早进行仔细的内镜评估。各种内镜止血技术可用于治疗。本文介绍了一例使用氩等离子体凝固术成功止血,治疗危及生命的十二指肠 Dieulafoy 病变的病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Life-threatening Gastrointestinal Bleeding from a Dieulafoy's Lesion in the Duodenum: A Case Report.

Dieulafoy's lesion is a rare cause of gastrointestinal bleeding, accounting for approximately 1-2% of all cases of gastrointestinal bleeding. Dieulafoy's lesion usually occurs in the lesser curvature of the stomach within six centimeters of the gastroesophageal junction. On the other hand, extragastric Dieulafoy's lesions are uncommon. Diagnosing an extragastric Dieulafoy's lesion by endoscopy can be challenging because of its small size and obscure location. The key elements for an accurate diagnosis include heightened awareness and a careful early endoscopic evaluation following a bleeding episode. Various endoscopic hemostatic techniques can be used for treatment. This paper presents a case of successful hemostasis using argon plasma coagulation for a life-threatening duodenal Dieulafoy's lesion.

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