硬化性肠系膜炎并消化系出血1例  

Sclerosing mesenteritis with digestive hemorrhage as the first sign: A case report

作　　者：史燕妹 常江[1] 黄华[1] 

机构地区：[1]昆明医科大学第二附属医院消化内科,云南省昆明市650101

出　　处：《世界华人消化杂志》2013年第34期3920-3922,共3页World Chinese Journal of Digestology

摘　　要：硬化性肠系膜炎是一种少见的肠系膜炎症疾病,其病变是脂肪坏死、慢性炎症及不同程度的纤维化组成的炎性假瘤.硬化性肠系膜炎病因及发病机制尚未明确,免疫功能紊乱、腹部手术、缺血、感染及药物等与其发病有一定关系.硬化性肠系膜炎临床症状无特异性,影像学检查和组织病理学是诊断的关键,确诊后没有最佳的治疗方案,大多数都是经验治疗.本例男性患者60岁,以消化系出血为首发症状就诊,确诊硬化性肠系膜炎后因无有效治疗消化系出血症状反复发作,3年来腹部包块进行性增大,消化系出血症状逐渐加重.Sclerosing mesenteritis is a rare inflammatory disease of the mesentery. It produces tumor-like masses of the mesentery characterized by vary- ing degrees of fibrosis, chronic inflammation, and fat necrosis. Although sclerosing mesenteri- tis can be related to autoimmune disorder, isch- emia, infection, drugs and surgery, most cases are idiopathic. Clinical manifestations are non- specific, varying from asymptomatic to diffuse abdominal complaints. Radiologic examinations and histologic evaluation of a biopsy specimen are the key to the correct diagnosis. There is no consensus on optimal pharmaceutical treatment and most patients are treated empirically. Here- in we report a case of sclerosing mesenteritis with digestive hemorrhage as the first sign in a 60-year-old man.

关 键 词：硬化性肠系膜炎 消化系出血 

分 类 号：R574[医药卫生—消化系统]