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胃底息肉脱垂导致胃十二指肠套叠及急性胰腺炎。

Prolapsed fundic gastric polyp causing gastroduodenal intussusception and acute pancreatitis.

作者信息

Jetha Zishan, Lisi Michael

机构信息

Division of General Surgery, University of Toronto, Toronto, Canada.

McMaster University, Hamilton, Canada.

出版信息

J Surg Case Rep. 2018 Jul 3;2018(7):rjy139. doi: 10.1093/jscr/rjy139. eCollection 2018 Jul.

Abstract

An 86-year-old female presented with a 6-month history of recurrent intermittent epigastric abdominal pain, postprandial fullness with nausea, vomiting, anemia and a 15-pound weight loss. A large fundic gastric polyp was intussuscepting into the duodenum causing intermittent compression and obstruction of the ampulla of Vater leading to acute pancreatitis. An overview of the clinical presentation, diagnosis and management of this entity, in addition to a review of the literature is provided.

摘要

一名86岁女性,有6个月反复间歇性上腹部腹痛病史,伴有餐后饱胀、恶心、呕吐、贫血及体重减轻15磅。一个巨大的胃底息肉套叠入十二指肠,导致十二指肠乳头间歇性受压和梗阻,进而引发急性胰腺炎。本文除了对文献进行综述外,还对该疾病的临床表现、诊断及治疗进行了概述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5a4/6030949/2ecd77fe6d85/rjy139f01.jpg

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