Angiodysplasia of the Jejunum in a Young Female Report of a Case

小腸血管發育不良症雖然可見於消化道各處，但病灶較常見於終端迴腸，並且是年長病患下腸胃道出血的好發原因之一。一位十八歲的女性病人因爲近兩週反覆解黑便住院接受治療，糞便潛血檢查臆斷爲消化道出血，但胃鏡及大腸鏡檢均無法發現病灶，動脈血管攝影在空腸發現一段不正常之網狀血管叢並發現顯影劑持續外滲。因爲內科治療未見成效，且病灶位置於內視鏡可及範圍之外，故施行外科手術。部份小腸切除及端對端吻合手術之後，病患情況很好，且無後續復發。小腸血管發育不良症目前治療方式多以內視鏡或Argon雷射止血，現今研究更在討論使用Thalidomide作爲預防再次出血的療法。本論文提出此病例提醒小腸血管發育不良症有可能發生在年輕女性，在藥物及Argon雷射止血無法使用時，傳統之剖腹及腸段切除手術是一個有效的治療方式。

關鍵字

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並列摘要

Angiodysplasia is a common cause of lower gastrointestinal (GI) tract bleeding in patients older than 60.1 Angiodysplasia is located in the cecum and ascending colon in 77% of cases and in the jejunum or ileum in 15%. We report an 18 year-old female with a history of progressive malaise after passing tarry stools for 2 weeks. The physical examinations implied an upper gastrointestinal bleeding. No visible lesion was found after panendoscopy and colonoscopy examination. The angiography was applied and angiodysplasia was identified in the proximal jejunum. We conducted a segmental resection of the small bowel with end-to-end anastomosis. The surgical outcome was good and the patient was advised to be regularly followedup at our out-patient department.

並列關鍵字

angiodysplasia ； jejunum ； cecum ； argon

國際替代計量

Angiodysplasia of the Jejunum in a Young Female Report of a Case

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