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A case of upper gastrointestinal acute bleeding as a complication of renal carcinoma metastases to the papilla Vateri.一例因肾癌转移至 Vater 乳头导致上消化道急性出血的病例。
Contemp Oncol (Pozn). 2013;17(5):470-2. doi: 10.5114/wo.2013.37226. Epub 2013 Oct 11.
2
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Leber Magen Darm. 1980 Dec;10(6):293-301.
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A clinicopathologic study of carcinoma of the papilla of Vater.Vater壶腹癌的临床病理研究
Jpn J Clin Oncol. 1984 Dec;14(4):667-77.
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A rare cause of upper gastrointestinal bleeding: stromal tumor of duodenum masquerading as papilla vateri.上消化道出血的罕见病因：伪装成 Vater 乳头的十二指肠间质瘤。
Am J Gastroenterol. 2009 Feb;104(2):535. doi: 10.1038/ajg.2008.82. Epub 2009 Jan 6.
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[Malignant gastrointestinal stromal tumor (GIST) of the papilla vateri. A rare tumor entity].[ Vater壶腹恶性胃肠道间质瘤（GIST）。一种罕见的肿瘤实体]
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Duodenal duplication cyst: a potentially malignant disease.十二指肠重复囊肿：一种潜在的恶性疾病。
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Unusual upper gastrointestinal bleeding due to late metastasis from renal cell carcinoma: a case report.肾细胞癌晚期转移导致的罕见上消化道出血：一例报告
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本文引用的文献

1
Emergency Kausch-Whipple procedure: indications and experiences.急诊 Kausch-Whipple 手术：适应证和经验。
Pancreas. 2010 Mar;39(2):156-9. doi: 10.1097/MPA.0b013e3181bb98d2.
2
Ampullary metastasis from breast cancer: an unusual finding.乳腺癌的壶腹转移：一项罕见发现。
Endoscopy. 2009;41 Suppl 2:E278-9. doi: 10.1055/s-0029-1215071. Epub 2009 Oct 28.
3
Small pancreatic and periampullary neuroendocrine tumors: resect or enucleate?小胰腺和壶腹周围神经内分泌肿瘤：切除还是剜除？
J Gastrointest Surg. 2009 Sep;13(9):1692-8. doi: 10.1007/s11605-009-0946-z. Epub 2009 Jun 23.
4
A rare cause of upper gastrointestinal bleeding: stromal tumor of duodenum masquerading as papilla vateri.上消化道出血的罕见病因：伪装成 Vater 乳头的十二指肠间质瘤。
Am J Gastroenterol. 2009 Feb;104(2):535. doi: 10.1038/ajg.2008.82. Epub 2009 Jan 6.
5
[Malignant gastrointestinal stromal tumor (GIST) of the papilla vateri. A rare tumor entity].[ Vater壶腹恶性胃肠道间质瘤（GIST）。一种罕见的肿瘤实体]
Chirurg. 2004 Feb;75(2):196-9. doi: 10.1007/s00104-003-0737-0.
6
Periampullary adenomyoma: report of two cases.壶腹周围腺肌瘤：两例报告。
Surg Today. 2002;32(11):1016-8. doi: 10.1007/s005950200205.
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Adenoma of the papilla and ampulla--premalignant lesions?
Langenbecks Arch Surg. 2001 Apr;386(3):172-5. doi: 10.1007/s004230100234.
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Bleeding ulcer in the common bile duct due to Fasciola hepatica.
Am J Gastroenterol. 1987 Jun;82(6):560-2.
9
[Upper digestive hemorrhage caused by ulcerated periampullary leiomyoma].壶腹周围溃疡型平滑肌瘤致上消化道出血
Rev Esp Enferm Dig. 1991 Feb;79(2):156-9.

一例因肾癌转移至 Vater 乳头导致上消化道急性出血的病例。

A case of upper gastrointestinal acute bleeding as a complication of renal carcinoma metastases to the papilla Vateri.

作者信息

Smigielski Jacek, Piskorz Lukasz, Wawrzycki Marcin, Jabłoński Sławomir, Brocki Marian

机构信息

Clinic of Thoracic Surgery, Oncological and General Surgery, Medical University, Lodz, Poland.

出版信息

Contemp Oncol (Pozn). 2013;17(5):470-2. doi: 10.5114/wo.2013.37226. Epub 2013 Oct 11.

DOI:10.5114/wo.2013.37226
PMID:24596540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3934032/
Abstract

Acute bleeding from metastatic tumour of the papilla Vateri is an extremely rare case. In this report the case of a woman who suffered from complications after a metastatic tumour of the papilla is described. Seventeen years following resection of the kidney due to clear cell carcinoma the patient was admitted to the clinic because of massive bleeding (Forrest IB) to the upper digestive tract in the form of sanguineous vomiting. The conducted diagnostics revealed a bleeding tumour of the papilla Vateri. Endoscopic treatment could not effectively stop the bleeding. A surgical procedure was performed by Whipple's method. A histopathological examination showed a metastatic clear cell tumour of the kidney. The patient was discharged from hospital on the 8(th) day following her admission and was also referred for further oncological treatment. The discussion is based on other cases of rare bleeding from the digestive tract within tumours of the bile duct and papilla Vateri.

摘要

Vater壶腹转移性肿瘤急性出血是极为罕见的病例。本报告描述了一名女性在Vater壶腹转移性肿瘤后出现并发症的情况。因透明细胞癌行肾切除术后17年，患者因上消化道大量出血（Forrest IB级）以血性呕吐形式入院。所进行的诊断显示为Vater壶腹出血性肿瘤。内镜治疗未能有效止血。采用Whipple法进行了手术。组织病理学检查显示为肾转移性透明细胞瘤。患者入院后第8天出院，并被转介接受进一步的肿瘤治疗。讨论基于胆管和Vater壶腹肿瘤内消化道罕见出血的其他病例。