Sadeghi Amir, Shahrbaf Mohammad Amin, Asadzadeh Aghdaei Hamid, Esmaeilinejad Komeil, Zali Mohammad Reza
Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Gastroenterol Hepatol Bed Bench. 2018 Fall;11(4):359-362.
Simple renal cysts are one of the most common lesions in elderly. These cysts are usually asymptomatic but when the size of these cysts increase, we would see symptoms such as hypertension, hematuria, flank pain or urinary obstruction. In this study, we explore a case of small bowel obstruction that presented with nausea, repeated vomiting that causes hematemesis, and a submucosal obstructive lesion that was seen in Esophagogastroduodenoscopy (EGD). After endoscopic ultrasound (EUS) evaluation, we detected a large simple renal cyst and approved our diagnosis with CT scan. We planned a medical treatment for this patient that consist consuming small size meals, 5 to 6 times a day, and high calorie liquids in small volumes. We conclude that simple renal cyst can be one of the cause of extrinsic intestinal obstruction and EUS is affective for differentiation of intrinsic submucosal lesion from extrinsic compression.
单纯性肾囊肿是老年人最常见的病变之一。这些囊肿通常无症状，但当囊肿体积增大时，我们会看到诸如高血压、血尿、胁腹痛或尿路梗阻等症状。在本研究中，我们探讨了一例小肠梗阻病例，该病例表现为恶心、反复呕吐导致呕血，并且在食管胃十二指肠镜检查（EGD）中发现了一个黏膜下梗阻性病变。在内镜超声（EUS）评估后，我们检测到一个大的单纯性肾囊肿，并通过CT扫描证实了我们的诊断。我们为该患者制定了一种医疗方案，包括每天分5至6次进食少量餐食以及少量高热量液体。我们得出结论，单纯性肾囊肿可能是外在性肠梗阻的原因之一，并且EUS对于区分内在性黏膜下病变与外在性压迫是有效的。
