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患者男,37岁。因间断便血37年入院。患者出生后即出现排便带血,为便前、便后滴鲜血,量少,偶有便前腹痛,随年龄增长,便血量增加。当地医院多次诊断为痔,给予直肠栓剂治疗,症状可暂时减轻。无肝炎、结核病史,无相关家族史。入院检查:轻度贫血貌,血红蛋白93g/L。结肠镜检查示:距肛门38cm以下乙状结肠和直肠见弥漫性蓝紫色血管,呈扁平片状、结节状和囊状,直肠最重,盲肠及升结肠散在类似病变,肛门口处见痔,痔表面满布鲜红色栅状血管网,见图1、2。腹部超声及胃镜检查,未见明显异常。诊断大肠弥漫性海绵状血管瘤,混合痔。
Male patient, 37 years old. Because of intermittent blood in the stool 37 years of admission. After the birth of patients with bowel and bowel disease, for the pre-and post-dripping blood, less, occasionally before the abdominal pain, with age, increased blood in the stool. Local hospital repeatedly diagnosed as hemorrhoids, given suppository therapy, the symptoms can be temporarily alleviated. No hepatitis, history of tuberculosis, no related family history. Admission examination: mild anemia appearance, hemoglobin 93g / L. Colonoscopy showed: from the anus 38cm below the sigmoid colon and rectum, see the diffuse blue-purple blood vessels, was flat, nodular and cystic, the most serious rectal, cecal and ascending colon scattered in a similar lesion, anal see hemorrhoids, hemorrhoids The surface is covered with a bright red razor wire, see Figure 1 and 2. Abdominal ultrasound and gastroscopy, no obvious abnormalities. Diagnosis of diffuse cavernous hemangiomas, mixed hemorrhoids.