Cengia Brent T, Stuart Paula S, Koch Kenneth L
Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC.
Department of Gastroenterology, Wake Forest School of Medicine, Winston-Salem, NC.
ACG Case Rep J. 2016 Aug 17;3(4):e109. doi: 10.14309/crj.2016.82. eCollection 2016 Aug.
A 65-year-old woman presented with a 5-month history of nausea, vomiting, and weight loss. Prior esophagogastrodudenoscopy showed retained food and delayed gastric emptying, but abdominal computed tomography was normal. The working diagnosis was idiopathic gastroparesis. Subsequently, an electrogastrogram test showed normal 3-cycle-per-minute activity, although it was suggestive of obstructive gastroparesis. Repeat esophagogastrodudenoscopy showed obstruction at the postbulbar duodenum. Repeat abdominal computed tomography revealed a 2.2 x 1.6-cm mass in the pancreaticoduodenal groove narrowing the descending duodenum and aspiration of the mass revealed adenocarcinoma.
一名65岁女性，有5个月的恶心、呕吐和体重减轻病史。先前的食管胃十二指肠镜检查显示有食物潴留和胃排空延迟，但腹部计算机断层扫描结果正常。初步诊断为特发性胃轻瘫。随后，胃电图检查显示每分钟3次的活动正常，尽管提示有梗阻性胃轻瘫。再次进行食管胃十二指肠镜检查显示球后十二指肠梗阻。再次进行腹部计算机断层扫描发现胰十二指肠沟有一个2.2×1.6厘米的肿块，使十二指肠降段变窄，对肿块进行抽吸检查发现为腺癌。
