Jung I S, Shim C S, Cheon Y K, Bhandari S, Cha S W, Moon J H, Cho Y D, Kim J H, Kim Y S, Lee M S, Kim B S
Institute for Digestive Research, Soon Chun Hyang University College of Medicine, Seoul, Korea.
Endoscopy. 2004 Feb;36(2):186-9. doi: 10.1055/s-2004-814190.
An 81-year-old woman was admitted with epigastric pain and weight loss. She had been diagnosed with an intraductal papillary mucosal tumor (IPMT) 7 years previously, but had refused surgery for religious reasons. Esophagogastroduodenoscopy revealed a nodular, elevated lesion that was discharging mucin into the duodenal bulb and posterior wall of the upper body of the stomach. Endoscopic ultrasonography, abdominal computed tomography, and endoscopic retrograde cholangiography were carried out, and a highly invasive IPMT with simultaneous invasion of the stomach and duodenum was diagnosed.
一名81岁女性因上腹部疼痛和体重减轻入院。她7年前被诊断为导管内乳头状黏膜肿瘤（IPMT），但因宗教原因拒绝手术。食管胃十二指肠镜检查发现一个结节状、隆起的病变，该病变正向十二指肠球部和胃体上后壁排出黏液。进行了内镜超声检查、腹部计算机断层扫描和内镜逆行胰胆管造影，诊断为同时侵犯胃和十二指肠的高侵袭性IPMT。
