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由……引起的空肠溃疡

Jejunal Ulcer Caused by .

作者信息

Rivadeneira Daniela Jaqueline, Luo Hesheng

机构信息

Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan 430060, China.

出版信息

Case Rep Gastrointest Med. 2019 Mar 31;2019:8356438. doi: 10.1155/2019/8356438. eCollection 2019.

Abstract

Intestinal schistosomiasis can be caused by the trematodes that mainly exists in East Asia or the in Africa and South America. The adult worms of live in the mesenteric veins and excrete eggs that circulate to the liver and colon; the eggs migrate through the intestinal wall and pass out with the stool. Here, we report a case of jejunal ulcer caused by the infection of . A 63-year-old woman from Wuhan, China, was admitted with left quadrant abdominal pain and weight loss for more than 6 months. The patient's computerized tomography reported cirrhotic liver changes, jejunal wall edema, and narrowed lumen; the upper enteroscopy corroborated these findings with the presence of several jejunal ulcers and edema. The pathology report showed chronic inflammation with ulcerative changes and eggs deposition. Schistosomiasis is one of the neglected tropical diseases that affect the poorest. Although a great improvement has been made to control it, there is a lot of work that remains to be fulfilled.

摘要

肠道血吸虫病可由主要存在于东亚、非洲和南美洲的吸虫引起。成虫寄生于肠系膜静脉,排出的虫卵循环至肝脏和结肠;虫卵穿过肠壁随粪便排出。在此,我们报告一例由感染引起的空肠溃疡病例。一名来自中国武汉的63岁女性因左下腹疼痛和体重减轻6个月以上入院。患者的计算机断层扫描报告显示肝脏有肝硬化改变、空肠壁水肿和管腔狭窄;上消化道内镜检查证实了这些发现,发现有多处空肠溃疡和水肿。病理报告显示有慢性炎症伴溃疡性改变及虫卵沉积。血吸虫病是影响最贫困人口的被忽视热带病之一。尽管在控制该病方面已取得很大进展,但仍有许多工作有待完成。

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