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中华胃肠内镜电子杂志 ›› 2022, Vol. 09 ›› Issue (02) : 100 -103. doi: 10.3877/cma.j.issn.2095-7157.2022.02.018

短篇论著

小肠Dieulafoy病引起消化道出血外科治疗1例并文献复习
金甜1, 张婷1, 李秀清2, 张其德1,()   
  1. 1. 210029 南京,南京中医药大学附属医院消化内镜中心
    2. 210029 南京,南京中医药大学附属医院病理科
  • 收稿日期:2022-02-28 出版日期:2022-05-15
  • 通信作者: 张其德

Surgical treatment of gastrointestinal bleeding caused by Dieulafoy disease of the small intestine: a case report and literature review

Tian Jin1, Ting Zhang1, Xiuqing Li2, Qide Zhang1,()   

  1. 1. Digestive Endoscopy Center, Jiangsu Province of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China
    2. Department of Pathology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China
  • Received:2022-02-28 Published:2022-05-15
  • Corresponding author: Qide Zhang
引用本文:

金甜, 张婷, 李秀清, 张其德. 小肠Dieulafoy病引起消化道出血外科治疗1例并文献复习[J]. 中华胃肠内镜电子杂志, 2022, 09(02): 100-103.

Tian Jin, Ting Zhang, Xiuqing Li, Qide Zhang. Surgical treatment of gastrointestinal bleeding caused by Dieulafoy disease of the small intestine: a case report and literature review[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2022, 09(02): 100-103.

Dieulafoy病是由于黏膜下动脉畸形引起的一种消化道出血性疾病,好发于胃小弯沿胃的近端近贲门处,但全消化道都有发病的报道,其中小肠Dieulafoy病较为罕见,且诊断困难。其首发症状多为无痛性消化道大出血,甚至引起失血性休克才得以发现。因其出血部位隐匿,诊断困难,内科治疗效果差,常造成治疗延误,危及生命。现经南京中医药大学附属医院消化内镜中心诊断并行外科手术治疗的空肠Dieulafoy病1例报道并文献复习。

Dieulafoy disease is a hemorrhagic disease of the digestive tract caused by submucosal arterial malformation. It occurs in the lesser curvature of the stomach along the proximal part of the stomach near the cardia, but there are reports of the disease in the whole digestive tract. Among them, Dieulafoy disease of the small intestine is more common. Rare and difficult to diagnose. The first symptoms are mostly painless gastrointestinal bleeding, and even cause hemorrhagic shock to be discovered. Because the bleeding site is hidden, he diagnosis is difficult, and the medical treatment effect is poor, which often results in delayed treatment and easily endangers the patient's life. This article reports a case of Dieulafoy's disease of the jejunum diagnosed by endoscopy in our hospital and treated by surgery.

图1 小肠镜所见:A活动性出血;B内镜下止血治疗
图2 病理所见:考虑为恒径动脉(Dieulafoy病变)
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