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十二指肠溃疡伴十二指肠套叠的罕见表现。

Unusual Presentation of Duodenal Ulcer Presenting with Duodenal Intussusception.

作者信息

Lingala Shilpa, Moore Andrew, Kadire Siri, Shankar Sridhar, Das Kanak, Howden Colin W

机构信息

Division of Gastroenterology and Hepatology, University of Tennessee Health Science Center, Memphis, TN.

Department of Medicine, University of Tennessee Health Science Center, Memphis, TN.

出版信息

ACG Case Rep J. 2018 Mar 28;5:e25. doi: 10.14309/crj.2018.25. eCollection 2018.

Abstract

We present a unique case of duodeno-duodenal intussusception from a duodenal bulb ulcer. A 38-year-old man presented with nausea, vomiting, and abdominal pain. Computed tomography showed duodenal intussusception. Esophagogastroduodenoscopy (EGD) showed a linear gastric ulcer and a duodenal bulb ulcer with an overlying blood clot. status was positive. Intussusception resolved spontaneously without intervention. He completed treatment for infection, and repeat EGD showed ulcer healing. Duodenal intussusception is rarely reported; intussusception from an edematous duodenal ulcer with an overlying blood clot mimicking a mass lesion acting as lead point has never been reported to our knowledge.

摘要

我们报告一例由十二指肠球部溃疡引起的十二指肠-十二指肠套叠的独特病例。一名38岁男性出现恶心、呕吐和腹痛。计算机断层扫描显示十二指肠套叠。食管胃十二指肠镜检查(EGD)显示有一个线性胃溃疡和一个十二指肠球部溃疡,上面覆盖有血凝块。状态为阳性。套叠未经干预自行缓解。他完成了感染治疗,复查EGD显示溃疡愈合。十二指肠套叠很少见报道;据我们所知,从未有过因水肿性十二指肠溃疡伴血凝块模拟肿块病变作为引导点而导致套叠的报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71a4/5876451/3c7932e4a2d4/CG-CGCR180012F001.jpg

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