■血管发育不良,胃肠道中普遍存在的血管异常,经常出现上消化道出血,与胃静脉曲张有共同的症状。诊断挑战是由于重叠的临床特征而产生的。该病例报告强调了在鉴别诊断中考虑血管发育不良的重要性,尤其是静脉曲张出血的可能性较小,并强调各种诊断方式在准确识别中的作用。
■一名52岁男性出现严重的呕血和黑便,模仿静脉曲张出血.尽管最初的管理,出血持续。对比增强计算机断层扫描显示血管通道扩张,怀疑胃静脉曲张和血管发育不良。内窥镜检查证实血管瘤性病变,在手术过程中无意中断,需要血管造影。血管造影结果支持血管发育不良的诊断,成功的干预措施包括内镜检查期间的临时胶水栓塞和氩激光凝固术。患者出院,血红蛋白稳定;2年随访显示无复发。
■该案例讨论了区分血管发育不良与静脉曲张的挑战,强调成像和内窥镜模式的作用。它强调了需要一种量身定制的治疗方法,包括氩等离子体凝固术,并强调了对复发进行细致随访的重要性。
■本病例报告阐明了1例伪装成静脉曲张破裂出血的血管发育不良患者的诊断和治疗过程。它强调了考虑没有典型体征的血管异常的重要性,以及个性化干预对最佳患者预后的重要性。2年无复发的随访表明该病例的成功治疗。
UNASSIGNED: Angiodysplasia, a prevalent vascular anomaly in the gastrointestinal tract, often presents with upper gastrointestinal bleeding, sharing symptoms with gastric varices. The diagnostic challenge arises due to overlapping clinical features. This case report highlights the importance of considering
angiodysplasia in the differential diagnosis, especially when variceal bleeding is less likely, and emphasizes the role of various diagnostic modalities in accurate identification.
UNASSIGNED: A 52-year-old male presented with severe hematemesis and melena, mimicking variceal bleeding. Despite initial management, bleeding persisted. Contrast-enhanced computed tomography revealed dilated vascular channels, raising suspicion for both gastric varices and
angiodysplasia. Endoscopy confirmed an angiomatous lesion, inadvertently disrupted during the procedure, necessitating angiography. The angiographic findings supported the diagnosis of
angiodysplasia, and successful interventions included temporary glue embolization and argon laser coagulation during endoscopy. The patient was discharged with stable hemoglobin; a 2-year follow-up showed no recurrence.
UNASSIGNED: The case discusses the challenges in differentiating
angiodysplasia from varices, emphasizing the role of imaging and endoscopic modalities. It highlights the need for a tailored approach to treatment, including argon plasma coagulation, and underscores the significance of meticulous follow-up for recurrence.
UNASSIGNED: This case report elucidates the diagnostic and therapeutic journey in managing a patient with angiodysplasia masquerading as variceal bleeding. It emphasizes the importance of considering vascular anomalies without typical signs and the significance of individualized interventions for optimal patient outcomes. The 2-year follow-up without recurrence signifies the successful management of the case.