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表现为肿瘤出血的空肠胃套叠

Jejunogastric intussusception presenting as tumor bleed.

作者信息

Rather Shiraz Ahmad, Dar Tanveer Iqbal, Wani Rauf A, Khan Asima

机构信息

Department of General Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir - 190 011, India.

出版信息

J Emerg Trauma Shock. 2010 Oct;3(4):406-8. doi: 10.4103/0974-2700.70775.

DOI:10.4103/0974-2700.70775
PMID:21063568
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2966578/
Abstract

Jejunogastric intussusception (JGI) is a rare but serious complication of previous gastrectomy or gastrojejunostomy, and a delayed diagnosis can lead to catastrophe. It can present as hematemesis, and an endoscopist aware of the condition can diagnose it early. We present a case of JGI presenting as hematemesis and diagnosed as tumor bleed on endoscopy. Diagnosis of JGI was confirmed on laparotomy, gangrenous efferent limb was resected and a fresh gastrojejunostomy performed.

摘要

空肠胃套叠（JGI）是既往胃切除术或胃空肠吻合术后一种罕见但严重的并发症，延迟诊断可能导致灾难性后果。它可表现为呕血，熟悉该病症的内镜医师能够早期诊断。我们报告一例以呕血为表现且在内镜检查时被诊断为肿瘤出血的空肠胃套叠病例。剖腹手术证实为空肠胃套叠，切除坏死的输出袢并进行了新的胃空肠吻合术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8553/2966578/d2f06665bd3e/JETS-3-406-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8553/2966578/117569a3c70e/JETS-3-406-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8553/2966578/5d54a671082d/JETS-3-406-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8553/2966578/d2f06665bd3e/JETS-3-406-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8553/2966578/117569a3c70e/JETS-3-406-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8553/2966578/5d54a671082d/JETS-3-406-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8553/2966578/d2f06665bd3e/JETS-3-406-g003.jpg

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