Digestive bleeding due to jejunal diverticula: diagnosis and management.

空肠憩室引起的消化道出血 ： 诊断和治疗。

• 发表时间: 2024 Apr 30
• 来源期刊: BMJ Case Rep
• DOI: 10.1136/bcr-2023-259089
• PMID: 38688577
• 文章类型: Journal Article
• 作者列表: Dagnesses Fonseca JO,Danes Grases JE,Luengo Batres P,Calvo Espino P

关键词: GI bleeding; Gastrointestinal surgery; Gastrointestinal system; Small intestine

Mesh: Humans; Gastrointestinal Hemorrhage / etiology diagnosis therapy; Jejunal Diseases / diagnosis complications surgery; Diverticulum / complications diagnosis diagnostic imaging; Male; Aged; Female; Tomography, X-Ray Computed; Diagnosis, Differential

Abstract

A jejunal diverticular haemorrhage is the second most common complication of jejunum diverticula. It can manifest clinically as acute upper gastrointestinal bleeding and is common to imitate acute rectal bleeding. Bleeding is usually associated with or without haemodynamic stability. Its diagnosis is challenging, requiring imaging examinations. Treatment is conservative management or surgery.

摘要

空肠憩室出血是空肠憩室的第二常见并发症。临床上可表现为急性上消化道出血，常见的是模仿急性直肠出血。出血通常伴有或不伴有血液动力学稳定性。它的诊断具有挑战性，需要影像学检查。治疗是保守治疗或手术治疗。