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回肠末端毛细血管扩张是一种少见的可导致消化道出血的病变。现将我院1例回肠末端毛细血管扩张症报道如下。 患者男,27岁,于1年前开始无明显诱因出现便血,为黑便或暗红色血便,每日晨大便1次,约300g,便后感脐周疼痛,为阵发性钝痛,约持续lh后,可自行缓解。伴有头晕、乏力。入院检查:皮肤粘膜苍白,浅表淋巴结不大,心肺无异常,腹软无压痛,肝脾不大,肠鸣音正常。血色素8.5 g,红细胞计数350万,肝功正常,血脂、血糖正常。CEA5ng/ml,血清铁46 μg％。入院后胃镜示:慢性浅表性胃炎。肝胆脾胰B超正常。肠系膜上下动脉造影未见病变,纤维结肠镜示:回肠末端有点状鲜红色斑沿血管分布10cm范围内见 0.2～0.3cm淋巴滤泡10余个,光滑软。病理诊断:回肠末的毛细血管扩张.淋巴滤泡增生。
Terminal ileum telangiectasia is a rare disease that can cause gastrointestinal bleeding. I now a hospital ileal telangiectasia reported as follows. Patient male, 27 years old, at the beginning of a year ago there was no obvious incentive to appear blood in the stool, black or dark red bloody stool, daily morning stool 1, about 300g, then feel the umbilical pain, paroxysmal dull pain, about After lh, you can ease. Accompanied by dizziness, fatigue. Admission examination: pale skin and mucous membranes, superficial lymph nodes is not large, no abnormal heart and lung, soft abdominal tenderness, liver and spleen, bowel sounds normal. Hemoglobin 8.5 g, erythrocyte count 3.5 million, normal liver function, blood lipids, normal blood glucose. CEA5ng / ml, serum iron 46μg%. Gastroscopy after admission shows: chronic superficial gastritis. Hepatobiliary spleen and pancreatic B-normal. Upper and lower mesenteric artery angiography no lesions, colonoscopy showed: a little bright red spots at the end of the ileum along the blood vessels within the distribution of 10cm see 0.2 ~ 0.3cm more than 10 lymphoid follicles, smooth and soft. Pathological diagnosis: the terminal ileum telangiectasia. Follicular hyperplasia.