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一名男孩小肠内的巨大息肉样胃异位症：病例报告及文献综述

Giant polypoid gastric heterotopia in the small intestine in a boy: A case report and literature review.

作者信息

Cai Jing, Yu Haibo

机构信息

Department of Digestive Diseases, Wenzhou Central Hospital, The Dingli Clinical Institute of Wenzhou Medical University, Wenzhou, Zhejiang, P.R. China.

出版信息

Medicine (Baltimore). 2017 Jan;96(1):e5854. doi: 10.1097/MD.0000000000005854.

DOI:10.1097/MD.0000000000005854
PMID:28072748
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5228708/
Abstract

RATIONALE

Heterotopic gastric mucosa has been described at various locations of the body; however, the polyp composed of heterotopic gastric mucosa in the small intestine is rare.

PATIENT CONCERNS

A 15-year-old boy visited us for investigation of recurrent episodes of melena. Capsule endoscopy (CE) revealed a polypoid tumor in the ileum, with an active nearby hemorrhage. Contrast-enhanced computed tomography (CECT) showed a tumor in the right quadrant of the abdomen, with a diameter of about 18 × 14 mm.

DIAGNOSES

The patient was diagnosed with polypoid gastric heterotopia.

INTERVENTIONS

We performed an operation to resect the lesion.

OUTCOMES

The patient recovered smoothly after surgery and was discharged on postoperative day 7 and followed up for 3 months. He has not experienced gastrointestinal intestinal (GI) symptoms up to now.

LESSONS

Giant polypoid gastric heterotopia in the small intestine is extremely rare, which can express as an occasional finding with or without symptoms. Surgical resection is the preferred therapy when symptoms appear.

摘要

原理

异位胃黏膜已在身体的各个部位被描述；然而，由小肠异位胃黏膜组成的息肉很少见。

患者情况

一名15岁男孩因反复出现黑便前来我院检查。胶囊内镜（CE）显示回肠有一个息肉样肿瘤，附近有活动性出血。增强计算机断层扫描（CECT）显示腹部右象限有一个肿瘤，直径约为18×14毫米。

诊断

患者被诊断为息肉样胃异位。

干预措施

我们进行了手术切除病变。

结果

患者术后恢复顺利，术后第7天出院，并随访3个月。到目前为止，他没有出现胃肠道（GI）症状。

经验教训

小肠巨大息肉样胃异位极为罕见，可表现为有症状或无症状的偶然发现。出现症状时，手术切除是首选治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/3063c65c58aa/medi-96-e5854-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/344826bf84c8/medi-96-e5854-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/43cc3f712d4c/medi-96-e5854-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/99dd6e0a336e/medi-96-e5854-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/5edb944f1e9c/medi-96-e5854-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/b4ce5e1ac2ca/medi-96-e5854-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/3063c65c58aa/medi-96-e5854-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/344826bf84c8/medi-96-e5854-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/43cc3f712d4c/medi-96-e5854-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/99dd6e0a336e/medi-96-e5854-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/5edb944f1e9c/medi-96-e5854-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/b4ce5e1ac2ca/medi-96-e5854-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b07e/5228708/3063c65c58aa/medi-96-e5854-g006.jpg

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[Heterotopic gastric mucosa in the rectum: Report of a case].[直肠内异位胃黏膜：1例报告]
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