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胃异位胰腺继发胃血肿:上消化道出血的意外原因

Gastric Hematoma Secondary to Heterotopic Pancreas of the Stomach: Unexpected Cause of Upper Gastrointestinal Bleeding.

作者信息

Rubel Abdur R, Chong Vui H

机构信息

Department of Medicine, Pengiran Muda Mahkota Pengiran Muda Haji Al-Muhtadee Billah (PMMPHAMB) Hospital, Tutong, BRN.

Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital (RIPAS) Hospital, Bandar Seri Begawan, BRN.

出版信息

Cureus. 2022 Jun 21;14(6):e26175. doi: 10.7759/cureus.26175. eCollection 2022 Jun.

Abstract

Upper gastrointestinal bleeding remains a common cause of hospitalizations and common causes include peptic ulcer disease, esophageal and gastric varices, and malignancies. Infrequently, rare and unexpected causes are encountered. Initial management is generally the same regardless of the cause that is focused on hemodynamic stabilization followed by endoscopy to assess and treat the cause of bleeding. We report a case of a 19-year-old female who presented with upper gastrointestinal bleeding and endoscopy showed a submucosal hematoma secondary to gastric ectopic pancreas or heterotopic pancreas. She was also treated for infection. She was managed medically and was discharged without further recurrence of bleeding.

摘要

上消化道出血仍然是住院治疗的常见原因,常见病因包括消化性溃疡病、食管和胃静脉曲张以及恶性肿瘤。偶尔会遇到罕见和意想不到的病因。无论病因如何,初始治疗通常相同,重点是血流动力学稳定,随后进行内镜检查以评估和治疗出血原因。我们报告了一例19岁女性患者,她因上消化道出血就诊,内镜检查显示为胃异位胰腺或异位胰腺继发的黏膜下血肿。她还接受了感染治疗。她接受了药物治疗,出院时未再出血。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/064b/9306394/cdf0519b857f/cureus-0014-00000026175-i01.jpg

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