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一例合并门静脉积气的气肿性胃炎成功内科治疗的病例报告

A Case Report of Successful Medical Management of Emphysematous Gastritis With Portal Venous Air.

作者信息

Dweik Anass, Rasheed Waqas, Mohammed Basheer U, Ebrahim Michael W, Bazzaz Omar

机构信息

Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, USA.

Internal Medicine, Thomas E. Creek Veterans Affairs Medical Center, Amarillo, USA.

出版信息

Cureus. 2022 May 18;14(5):e25095. doi: 10.7759/cureus.25095. eCollection 2022 May.

Abstract

Emphysematous gastritis is an uncommon yet life-threatening condition characterized by air in the gastric wall. It requires clinical and radiological findings for its diagnosis. Management is done either medically or surgically and requires early intervention with bowel rest, proton pump inhibitors, and antibiotics with or without gastrectomy secondary to the high mortality associated with the condition. We present a case of a 55-year-old male who responded well to medical therapy without the need for surgical intervention.

摘要

气肿性胃炎是一种罕见但危及生命的疾病,其特征是胃壁内有气体。它需要临床和影像学检查结果来进行诊断。治疗方法包括内科治疗或外科治疗,由于该疾病死亡率高,需要早期干预,包括肠道休息、使用质子泵抑制剂和抗生素,必要时进行胃切除术。我们报告一例55岁男性患者,该患者对内科治疗反应良好,无需手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8386/9205271/808d0d00da4e/cureus-0014-00000025095-i01.jpg

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