论文部分内容阅读
直肠血管瘤十分罕见。国外文献至八一年共收集列大肠血管瘤50例。直肠血管瘤的例数更少。我院最近收治一例现报道如下: 患者:男性,39岁。因肛门反复流血2个多月,头晕,乏力半个月而入院。体检,消瘦,贫血貌。一般体检正常。腹部无阳性体征。肛门外观无异常。肛门指检:直肠壁可触及多个花生大肿物,质软。乙状结肠镜检查,离肛门12厘米以内直肠粘膜下血管曲张成团,呈紫兰色,多处粘膜破溃出血。化验:血红蛋白4.5克。拟诊:直肠血管瘤。于1981年9月18月行剖腹探查术。见乙状结肠以下肠管浆膜面血管明显扩张,呈串珠状瘤
Rectal hemangiomas are very rare. A total of 50 cases of large intestine hemangiomas were collected from foreign documents in the past eight years. There are fewer cases of rectal hemangiomas. One recent case in our hospital is reported as follows: Patient: Male, 39 years old. Due to repeated anal bleeding for more than 2 months, dizziness, fatigue and admission to hospital. Physical examination, weight loss, anemia appearance. General physical examination is normal. No positive signs in the abdomen. No abnormal appearance of the anus. Anal test: The rectum wall can touch many large peanut masses and is soft. Sigmoidoscopy, within 12 cm from the anus, the rectal submucosal blood vessels varicose into groups, purple blue, mucosal bleeding ulcers. Laboratory tests: Hemoglobin 4.5 g. To be diagnosed: rectal hemangiomas. Laparotomy was performed on September 18, 1981. See the sigmoid colon below the sigmoid fundus surface blood vessels significantly expanded, showing beaded tumors