The Left Uterine Artery as an Unusual Source of Lower Gastrointestinal Hemorrhage: A Case Report

左側子宮動脈引起下消化道出血：病例報告

張家駱(Chia-Lo Chang) ； 陳鴻華(Hong-Hwa Chen) ； 林尚潁(Shung-Eing Lin) ； 林浩(Ho Lin)

《中華民國大腸直腸外科醫學會雜誌》 20卷3期 (2009/09) Pp. 74-78

https://doi.org/10.6312/SCRSTW.2009.20(3).09805

摘要

下消化道大量出血對臨床醫師而言，是相當具有挑戰性的問題。報告一例三十歲女性，在婦科骨盆腔手術後，同時併發直腸破裂和子宮動脈出血，臨床表現出反覆大量下消化道出血及休克的的罕見病例。病人在經歷四次動脈血管攝影後出血才得到確切控制，唯有臨床高度懷疑且快速準確的動脈血管攝影檢查，才可避免輕忽此一罕見下消化道出血原因，並得到立即有效的治療。

關鍵字

出血 ； 下消化道出血 ； 血管攝影術

並列摘要

Lower gastrointestinal (GI) hemorrhage is a frequently encountered and challenging clinical problem. We report a rare case of a 30-year-old woman who presented with coexistent complications of rectal perforation and uterine arterial bleeding after pelvic surgery, exhibited recurrent massive lower GI bleeding, and developed shock. Four episodes of massive bleeding occurred before a definite diagnosis could be established by angiography. A high index of suspicion is the most important diagnostic aid that can prevent the physicians from overlooking the possibility that lower GI hemorrhage may have such an unusual source.

並列關鍵字

Hemorrhage ； Lower gastrointestinal bleeding ； Angiography