经双气囊小肠镜检查发现的小肠重复囊肿：一例报告
Duplication cyst of the small intestine found by double-balloon endoscopy: a case report.
作者信息
Ogino Haruei, Ochiai Toshiaki, Nakamura Norimoto, Yoshimura Daisuke, Kabemura Teppei, Kusumoto Tetsuya, Matsuura Hiroshi, Nakashima Akihiko, Honda Kuniomi, Nakamura Kazuhiko
机构信息
Department of Internal Medicine, Saiseikai Fukuoka General Hospital, Fukuoka-Shi, Fukuoka-Ken, Japan.
出版信息
World J Gastroenterol. 2008 Jun 28;14(24):3924-6. doi: 10.3748/wjg.14.3924.
A 35-year-old man was admitted due to bloody stool and anemia. The bleeding source could not be detected by esophagogastroduodenoscopy or colonoscopy. Double balloon endoscopy (DBE) revealed a diverticulum-like hole in which coagula stuck in the ileum at 1 meter on the oral side from the ileocecal valve. The adjacent mucosa just to the oral side of the hole was elevated like a submucosal tumor. The lesion was considered the source of bleeding and removed surgically. It was determined to be a cyst with an ileal structure on the mesenteric aspect accompanying gastric mucosa. The diagnosis was a duplication cyst of the ileum, which is a rare entity that can cause gastrointestinal bleeding. In the present case, DBE was used to find the hemorrhagic duplication cyst in the ileum.
一名35岁男性因便血和贫血入院。食管胃十二指肠镜检查和结肠镜检查均未发现出血源。双气囊小肠镜（DBE）显示在距回盲瓣口侧1米处的回肠有一个憩室样孔洞，血凝块附着其中。孔洞口侧相邻的黏膜像黏膜下肿瘤一样隆起。该病变被认为是出血源并接受了手术切除。结果确定为肠系膜侧带有胃黏膜的具有回肠结构的囊肿。诊断为回肠重复囊肿，这是一种可导致胃肠道出血的罕见病症。在本病例中，通过DBE发现了回肠中的出血性重复囊肿。
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