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吞食木串后发生的化脓性胃脓肿:内镜下切开成功治疗

A pyogenous gastric abscess that developed following ingestion of a piece of a wooden skewer: successful treatment with endoscopic incision.

作者信息

Katsinelos Panagiotis, Chatzimavroudis Grigoris, Zavos Christos, Triantafillidis Ioannis, Kountouras Jannis

机构信息

Department of Endoscopy and Motility Unit, G. Gennimatas Hospital, Ethnikis Aminis 41, 54635 Thessaloniki, Greece.

出版信息

J Gastrointestin Liver Dis. 2007 Mar;16(1):113-5.

PMID:17410299
Abstract

A 62-year-old man with a medical history of duodenal ulcer was referred to our department for endoscopy, because of epigastralgia associated with mild anorexia. At endoscopy, a large protruding lesion with the appearance of a submucosal tumor was present at the posterior wall of the gastric body. Trying to perform an aspiration needle biopsy for cytological study, we observed the outflow of pus from the puncture point. An incision, 1 cm in length, was performed via a needle-knife sphincterotomy, which led to drainage of the abscess and disappearance of symptoms. A 2.5 cm long piece of a wooden skewer was found to be embedded into the area of the bulge and was retrieved.

摘要

一名有十二指肠溃疡病史的62岁男性因上腹部疼痛伴轻度厌食而转诊至我科接受内镜检查。内镜检查时,胃体后壁有一个巨大的突出病变,外观呈黏膜下肿瘤。在尝试进行穿刺针活检以进行细胞学研究时,我们观察到穿刺点有脓液流出。通过针刀括约肌切开术做了一个1厘米长的切口,这导致脓肿引流,症状消失。发现一根2.5厘米长的竹签嵌入隆起区域并被取出。

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