肝硬化患者直肠神经内分泌肿瘤内镜切除后反复出血1例

Recurrent hemorrhage after endoscopic resection of rectal neuroendocrine tumors in patients with liver cirrhosis: a case report

摘要:

报道1例肝硬化失代偿期凝血功能障碍患者内镜下切除直肠神经内分泌肿瘤后反复出血的诊治过程。肝硬化患者结肠镜下息肉切除有极大的出血风险，需谨慎评估患者的基础病情、病灶的潜在危害、手术的安全性，以及肿瘤的大小、形态、深度、位置等情况，从而明确是否有切除的必要，做好切除的术前准备，及时妥善处理术后出血。

Abstract:

This article reports on the diagnosis and treatment of recurrent bleeding after endoscopic resection of rectal neuroendocrine tumors in a patient with decompensated coagulation dysfunction in liver cirrhosis . Based on literature reports, colonoscopic polypectomy in patients with liver cirrhosis poses a significant risk of bleeding. We believe that it is necessary to carefully evaluate the patient"s underlying condition, potential harm to the lesion, surgical safety, as well as the size, shape, depth, and location of the tumor, in order to determine the necessity of resection, make preoperative preparations for resection, and promptly and properly handle postoperative bleeding.