Intraoperative angiography with indocyanine green, an aid in the diagnosis and treatment of obscure digestive tract bleeding, a case report.

术中血管造影与吲哚菁绿 ，有助于诊断和治疗不明原因的消化道出血 ，病例报告.

• 发表时间: 2024 Aug
• 来源期刊: Oxf Med Case Reports
• DOI: 10.1093/omcr/omae084
• PMID: 39119014
• 文章类型: Case Reports
• 作者列表: Alquicira Alcantara E,de la Hoz Camacho D,Pinedo Vega AD,Yescas Vázquez X,Hernandez Bernal PA,Medina Caballero D

关键词: fluorescence-guided surgery; indocyanine green; intraoperative angiography; small bowel bleeding

Abstract

Lower digestive tract bleeding occurs distal to the angle of Treitz. While many cases remit spontaneously; some pose a diagnostic challenge for surgeons. We present the case of a 68-year-old man with unexplained digestive tract bleeding. Despite various diagnostic efforts, the source remained unknown. Faced with the challenge of persistent bleeding and hemodynamic instability, surgery became necessary. During the procedure, intraoperative angiography with indocyanine green was used to facilitate the identification of the bleeding site, revealing a gastrointestinal stromal tumor in the small bowel. Resection was performed with favorable outcomes. Indocyanine green staining has become popular for locating intestinal bleeding during emergency surgeries, aiding surgeons in making precise decisions.

摘要

下消化道出血发生在Treitz角的远端。虽然许多病例自发缓解；有些病例对外科医生构成了诊断挑战。我们介绍了一名68岁男性不明原因消化道出血的病例。尽管做出了各种诊断努力，消息来源仍然未知。面对持续出血和血流动力学不稳定的挑战,手术变得必要了。在手术过程中,术中使用吲哚菁绿血管造影来帮助识别出血部位，发现小肠有胃肠道间质瘤.进行了手术切除，结果良好。吲哚菁绿染色已成为在紧急手术中定位肠道出血的流行，帮助外科医生做出精确的决定。