Korean Journal of Gastrointestinal Endoscopy 1998;18(2): 271-275.
증례 : 식도 위장관 ; 혈압이 떨어질 정도의 심한 장출혈을 보인 크론병 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Crohn's Disease with Blood Pressure Falling Intestinal Bleeding )
배장환, 고병성, 김도형, 전현정, 박선미, 윤세진, 이상전 (Jang Whan Bae, Byeong Seong Ko, Doe Hyoung Kim, Hyeon Jeong Jeon, Seon Mee Park, Sei Chin Youn and Sang Jeon Lee)
Abstract
Life-threatening gastrointestinal hemorrhage is a rare complication in Crohn's disease. The authors experienced a case of Crohn's disease manifested with massive lower intestinal bleeding. A 22-year-old woman, who had underwent small bowel resection for bowel perforation and intestinal fistula, was admitted with lower abdominal pain and massive hernatochezia. A radioisotope bleeding scan and mesenteric angiography revealed suspi- cious intestinal bleeding in the small bowel area. The colonoscopy showed multiple shallow ulcers at the terminal ileum and scars on the cecum. In spite of medical management with the diagnosis of Crohn's disease, she continuecl to rebleed and required fistuloplasty and ileal resection. In the surgical specimen was discovered multiple exposed small vessels and diffuse blood oozing at terminal ileum. After surgery, there were no more bleeding episodes and she recovered with the aid treatment of sulfasalazine and prednisolone. (Korean J Gastrointest Endosc 18: 271-275, 1998)
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