Aldea A, Gheorghiu A, Cernat C
Secţia Chirurgie II, Spitalului Judeţean Buzău.
Chirurgia (Bucur). 1998 Nov-Dec;93(6):423-5.
The authors present the case of a male patient, aged 68, admitted in our department for a upper gastrointestinal hemorrhage. The upper gastrointestinal series showed a large gastric villous adenoma located in the body of the stomach. Intraoperative, we found a gastric villous adenoma and multiple choledocholithiasis and gallbladder stones which evolved completely asymptomatic. We performed a mediogastric resection, Fredet pyloroplasty and laterolateral choledochoduodenostomy with a good postoperative result. This case is peculiar due to the concomitant occurrence of two rare diseases the gastric villous adenoma and the asymptomatic multiple choledocholithiasis.
作者介绍了一名68岁男性患者的病例,该患者因上消化道出血入住我科。上消化道造影显示胃体部有一个巨大的胃绒毛状腺瘤。术中,我们发现了一个胃绒毛状腺瘤以及多发胆总管结石和胆囊结石,这些结石一直完全无症状。我们进行了胃中部切除术、弗雷代特幽门成形术和胆总管十二指肠外侧吻合术,术后效果良好。该病例很特殊,因为同时出现了两种罕见疾病——胃绒毛状腺瘤和无症状的多发胆总管结石。