PDF(Pubmed)
Abstract：
We report a case of a 76-year-old female presenting with intermittent obscure gastrointestinal (GI) bleeding originating from the small intestine secondary to a delayed complication related to mesh hernioplasty. The mesh was eroding into the small bowel causing intermittent transfusion-dependent GI bleeding. Multiple upper and lower endoscopic investigations were sought over the last two years, but they were noncontributory. Finally, video capsule endoscopy (VCE) revealed mesh invasion into the small bowel wall associated with bleeding. This case emphasizes the significance of an early sufficient differential diagnosis in patients with obscure GI bleeding. Meanwhile, being cognizant of rare causes of GI bleeding in patients who have had hernioplasty is very important.
摘要：
我们报告了一例76岁的女性，其间歇性胃肠道（GI）出血起源于小肠，继发于网状疝修补术相关的延迟并发症。网状物侵蚀小肠，导致间歇性输血依赖性胃肠道出血。在过去的两年中，人们寻求了多次上下内窥镜检查，但它们是不缴款的。最后,视频胶囊内镜(VCE)显示网状物侵入小肠壁并伴有出血.该病例强调了对不明原因消化道出血患者进行早期充分鉴别诊断的重要性。同时,认识到有疝修补术的患者消化道出血的罕见原因是非常重要的。
