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一例罕见的非甾体抗炎药(NSAID)摄入继发的接吻性胃溃疡病例。

A Rare Case of Kissing Gastric Ulcers Secondary to Non-steroidal Anti-inflammatory Drug (NSAID) Intake.

作者信息

Vemulakonda Sri Hari Priya, Dutta Souradeep, Jain Ankit, Reddy Abhinaya, Nelamangala Ramakrishnaiah Vishnu Prasad

机构信息

Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

出版信息

Cureus. 2022 Jul 30;14(7):e27490. doi: 10.7759/cureus.27490. eCollection 2022 Jul.

Abstract

Peptic ulcer disease is a heterogeneous disease caused by the imbalance between mucosal protective and aggressive factors. Such ulcers are common in the anterior wall of the duodenum and gastric antrum. Kissing ulcers, although commonly reported in the duodenum, are rarely seen in the stomach. We present a rare case of an 85-year-old lady who had an index presentation of sudden onset hematemesis following ibuprofen intake. Endoscopy revealed kissing gastric ulcers, which are extremely rare secondary to non-steroidal anti-inflammatory drugs. She had complete healing after treatment with proton pump inhibitors.

摘要

消化性溃疡病是一种由黏膜保护因素和侵袭因素失衡引起的异质性疾病。此类溃疡常见于十二指肠前壁和胃窦。吻合性溃疡虽在十二指肠中常见报道,但在胃中很少见。我们报告一例罕见病例,一名85岁女性在服用布洛芬后首次出现突发呕血。内镜检查发现吻合性胃溃疡,这在非甾体抗炎药引起的情况中极为罕见。经质子泵抑制剂治疗后她完全愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9021/9423786/dd7e6b6fc31c/cureus-0014-00000027490-i01.jpg

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