经内镜活检诊断为穿透至肝脏的胃溃疡。
Gastric ulcer penetrating to liver diagnosed by endoscopic biopsy.
作者信息
Kayacetin Ertugrul, Kayacetin Serra
机构信息
Department of Gastroenterology, Selcuk University, Meram Medical Faculty, Konya/Turkey.
出版信息
World J Gastroenterol. 2004 Jun 15;10(12):1838-40. doi: 10.3748/wjg.v10.i12.1838.
Abstract
Liver penetration is a rare but serious complication of peptic ulcer disease. Usually the diagnosis is made by operation or autopsy. Clinical and laboratory data were no specific. A 64-year-old man was admitted with upper gastrointestinal bleeding. Hepatic penetration was diagnosed as the cause of bleeding. Endoscopy showed a large gastric ulcer with a pseudotumoral mass protruding from the ulcer bed. Definitive diagnosis was established by endoscopic biopsies of the ulcer base.
摘要
肝穿孔是消化性溃疡疾病一种罕见但严重的并发症。通常通过手术或尸检做出诊断。临床和实验室数据并无特异性。一名64岁男性因上消化道出血入院。诊断为肝穿孔是出血原因。内镜检查显示一个大胃溃疡，有一个假肿瘤性肿块从溃疡底部突出。通过溃疡底部的内镜活检确立了明确诊断。
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