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中华胃肠内镜电子杂志 ›› 2021, Vol. 08 ›› Issue (01) : 46 -48. doi: 10.3877/cma.j.issn.2095-7157.2021.01.009

所属专题: 经典病例 文献

病例报告

小肠溃疡出血合并肠系膜脂膜炎1例
张大涯1, 张贯军1, 陈升鑫1, 刘方1, 翟亚奇1, 李明阳1,()   
  1. 1. 100853 北京,解放军总医院第一医学中心消化内科
  • 收稿日期:2021-01-26 出版日期:2021-02-15
  • 通信作者: 李明阳

Bleeding of small intestinal ulcer complicated with mesenteric panniculitis: a case report

Daya Zhang1, Guanjun Zhang1, Shengxin Chen1   

  • Received:2021-01-26 Published:2021-02-15
引用本文:

张大涯, 张贯军, 陈升鑫, 刘方, 翟亚奇, 李明阳. 小肠溃疡出血合并肠系膜脂膜炎1例[J]. 中华胃肠内镜电子杂志, 2021, 08(01): 46-48.

Daya Zhang, Guanjun Zhang, Shengxin Chen. Bleeding of small intestinal ulcer complicated with mesenteric panniculitis: a case report[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2021, 08(01): 46-48.

图1 腹部CT平扫脂膜炎累及范围,其内密度较周围正常脂肪密度稍高
图2 升结肠至回盲部可见新鲜血迹,考虑小肠出血
图3 胶囊内镜见小肠约0.8 cm的溃疡,覆黄白苔,周边黏膜充血水肿
图4 小肠镜见小肠黏膜缺损,周围发红,周围可见新生上皮
图5 (HE×200)小肠黏膜组织慢性炎伴急性炎及糜烂
图6 PET-CT肠系膜局部密度增高、模糊,放射性摄取增高,SUVmax:3.0
图7 脂膜炎累及区密度较前减低,血管周围渗出较前减轻,淋巴结较前缩小
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