一例伴有胃病变动脉出血的恶性淋巴瘤。

A case of malignant lymphoma accompanied with arterial bleeding from the gastric lesion.

作者信息

Nishimura H, Saito M, Shibata K, Ueno K, Maeura Y, Murata A

机构信息

Department of Internal Medicine, Nagayoshi General Hospital, Osaka, Japan.

出版信息

Jpn J Med. 1989 Sep-Oct;28(5):604-7. doi: 10.2169/internalmedicine1962.28.604.

DOI:10.2169/internalmedicine1962.28.604

PMID:2585887

Abstract

We experienced a case of malignant lymphoma with gastric and ileo-caecal lesions. The case was 80 year-old Japanese female with a chief complaint of anorexia. The patient had gross hematemesis on the 4th day of admission. By emergency gastroendoscopy, multiple small gastric ulcers which have sharp marginal prominences were observed. Pulsating arterial bleeding was observed and we successfully achieved hemostasis by topical injection of pure ethanol under gastroendoscopy. Biopsy specimen of that lesion showed it was malignant lymphoma.

摘要

我们遇到了一例伴有胃和回盲部病变的恶性淋巴瘤病例。该病例为一名80岁的日本女性，主要症状为厌食。患者在入院第4天出现大量呕血。通过急诊胃镜检查，观察到多个边缘有明显隆起的小胃溃疡。观察到有搏动性动脉出血，我们在内镜下局部注射纯乙醇成功实现了止血。该病变的活检标本显示为恶性淋巴瘤。