Prandi M, Rezzo R, Bini A, Anfossi A
II Divisione di Chirurgia Generale, Ospedali Galliera, Genova.
G Chir. 1999 Mar;20(3):116-8.
The Authors report a case of acute onset anaemia due to a bleeding duodenal adenocarcinoma, stressing the rarity of this clinical situation. Only in few cases such an important bleeding has been pointed out to require an emergency surgical treatment. The diagnostic and therapeutical criteria are exposed and compared with the literature ones. The Authors indicate duodenopancreatectomy as the only resective surgical procedure that can offer recovery or a chance of a long disease-free survival.
作者报告了一例因十二指肠腺癌出血导致急性贫血的病例,强调了这种临床情况的罕见性。只有少数病例指出这种严重出血需要紧急手术治疗。文中阐述了诊断和治疗标准,并与文献中的标准进行了比较。作者指出,十二指肠胰切除术是唯一能够实现康复或带来长期无病生存机会的根治性手术。