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一名患有食物团块嵌塞患者的食管壁内假性憩室病

Esophageal intramural pseudodiverticulosis in a patient with food bolus impaction.

作者信息

Piñerúa-Gonsálvez Jean Félix, Zambrano-Infantino Rosanna Del Carmen, Sulbaran Mariseli

机构信息

Department of Gastroenterology, Hospital Militar "Dr. Carlos Arvelo". Caracas, Venezuela; Hospital de Clínicas Caracas. Caracas, Venezuela.

Department of Gastroenterology, Hospital Militar "Dr. Carlos Arvelo". Caracas, Venezuela; Policlínica Metropolitana. Caracas, Venezuela.

出版信息

Rev Gastroenterol Peru. 2019 Oct-Dec;39(4):362-363.

PMID:32097397
Abstract

Esophageal intramural pseudodiverticulosis is an uncommon esophageal benign disease. The typical finding during endoscopy is the presence of numerous pinhead-sized outpouchings along the esophageal wall. We reported a case of food bolus impaction secondary to esophageal intramural pseudodiverticulosis. A 67-year-old man presented with sudden-onset dysphagia. Multiple tiny orifices were revealed during upper endoscopy. In addition, there were an impacted food bolus and an esophageal web. The patient was treated with balloon dilatation and proton pump inhibitors. As a result the symptoms disappeared completely. Esophageal intramural pseudodiverticulosis is a rare cause of food bolus impaction and its treatment is directed towards the underlying associated conditions as well as the resolution of complications.

摘要

食管壁内假性憩室病是一种罕见的食管良性疾病。内镜检查时的典型表现是食管壁上有许多针头大小的外突小囊。我们报告了一例继发于食管壁内假性憩室病的食物团块嵌塞病例。一名67岁男性因突发吞咽困难就诊。上消化道内镜检查发现多个小孔。此外,还有一个嵌塞的食物团块和一个食管蹼。该患者接受了球囊扩张和质子泵抑制剂治疗。结果症状完全消失。食管壁内假性憩室病是食物团块嵌塞的罕见原因,其治疗针对潜在的相关疾病以及并发症的解决。

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