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一例特发性胃食管黏膜下血肿及其内镜观察下的消失情况

A case of idiopathic gastroesophageal submucosal hematoma and its disappearance observed by endoscopy.

作者信息

Oe Shinji, Watanabe Tatsuyuki, Kume Keiichiro, Shibata Michihiko, Hiura Masaaki, Yoshikawa Ichiro, Harada Masaru

机构信息

Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan.

出版信息

J UOEH. 2014 Jun 1;36(2):123-8. doi: 10.7888/juoeh.36.123.

Abstract

A 74-year-old man was hospitalized due to hematemesis. Upper gastrointestinal endoscopy revealed a very large and dark red mass in the cardiac region of the stomach that extended from the upper esophagus. A biopsy specimen showed hemorrhagic tissue and no malignant cells. The tumor-like region ulcerated at 5 days after the administration of intravenous lansoprazole at a dose of 30 mg twice a day and resolved with scar formation at 2 months after a change to oral rabeprazole at a dose of 10 mg/day.We diagnosed the patient with gastroesophageal submucosal hematoma. Gastroesophageal submucosal hematoma is a rare complication. In this case, we could follow the process of its disappearance by endoscopy.

摘要

一名74岁男性因呕血入院。上消化道内镜检查显示胃贲门区有一个非常大的暗红色肿块,从食管上段延伸而来。活检标本显示为出血性组织,未见恶性细胞。在每天两次静脉注射30mg兰索拉唑5天后,肿瘤样区域发生溃疡,在改为每天口服10mg雷贝拉唑2个月后形成瘢痕而消退。我们诊断该患者为胃食管黏膜下血肿。胃食管黏膜下血肿是一种罕见的并发症。在本病例中,我们能够通过内镜观察到其消失过程。

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