Korean J Gastrointest Endosc > Volume 42(4); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(4): 255-258.
위의 Dieulafoy 병변 출혈 때문에 발생한 허혈성 대장염 1예
박준석ㆍ김진오ㆍ김현건ㆍ이태희ㆍ홍성욱ㆍ전성곤ㆍ전성란ㆍ김완중
순천향대학교 의과대학 내과학교실, 소화기연구소
A Case of Ischemic Colitis Results from the Bleeding on Gastric Dieulafoy Lesions
Jun Seok Park, M.D., Jin Oh Kim, M.D., Hyun Gun Kim, M.D., Tae Hee Lee, M.D., Sung Wook Hong, M.D., Sung Gon Jun, M.D., Seong Ran Jeon, M.D. and Wan Jung Kim, M.D.
Department of Internal Medicine, Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea
Abstract
Ischemic colitis is the most common ischemic injury of the gastrointestinal tract. It can result from ischemia caused by compromised blood flow to the mesenteric arteries. Colonic ischemia may be precipitated by several conditions, although a cause is not clearly identified in most cases. A 63-year-old man was admitted because of loss of consciousness with melena. After endoscopic bleeding control of Dieulafoy lesions of the stomach, hematochezia occurred during the in-hospital care period. A sigmoidoscopy and computed tomography scan were conducted to evaluate the hematochezia, and ischemic colitis was diagnosed. Here, we report a case of ischemic colitis associated with massive upper gastrointestinal bleeding. (Korean J Gastrointest Endosc 2011;42:255-258)
Key Words: Ischemic colitis, Gastrointestinal hemorrhage, Dieulafoy lesion
주요어: 허혈성 대장염, 위장관 출혈, Dieulafoy 병변
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