A surgical solution for vasculitis?

摘要

A 22-yeai-old man presented in October, 2004, with tonential bleeding per rectum and abdominal pain 8 units of blood were required to correct his haemodynamic compromise, but no site of haemorrhage could be identified. Colonoscopy showed blood in the colon but not the source Oesophagogastroduodenoscopy and capsule endoscopy were unremarkable. Meckel's scintigraphy was negative. White cell differential count, platelet count, and coagulation measures were all normal. His C-reactive protein concentration was less than 5 mg/L He reported two previous, episodes of haemochezia, including a 2-month period of intermittent painless bleeding per rectum when he was 13 years old.