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[食管巨大纤维血管性息肉。附1例报告并文献复习]

[Giant fibrovascular polyp of the esophagus. Apropos of a case. Review of the literature].

作者信息

Letessier E, Gaillard F, Lehur P A, Paineau J, Moyon J, Aillet L, Visset J

机构信息

Service de Chirurgie Générale et Digestive, Hôpital G. et R. Laennec, Nantes.

出版信息

J Chir (Paris). 1987 Aug-Sep;124(8-9):467-70.

PMID:3693447
Abstract

Two operations were necessary to establish the diagnosis, in a patient with giant fibrovascular polyp of esophagus, imaging data suggesting an erroneous perioperative diagnosis of idiopathic mega-esophagus. This intraluminal tumor is benign and pedunculated, the symptoms arising from the esophageal obstruction. During vomiting, blockage at the laryngeal level by the fibrovascular polyp can provoke an acute asphyxia. Treatment is a function of polyp size, small tumors being removed endoscopically with the ever present risk of hemorrhage. Large tumors require surgery, the approach depending on the pedicle site.

摘要

对于一名患有食管巨大纤维血管性息肉的患者,需要进行两次手术才能确诊,其影像学数据提示围手术期对特发性巨食管的诊断有误。这种腔内肿瘤是良性的且有蒂,症状由食管梗阻引起。呕吐时,纤维血管性息肉在喉部水平的阻塞可引发急性窒息。治疗方法取决于息肉大小,小肿瘤可通过内镜切除,但始终存在出血风险。大肿瘤则需要手术,手术方式取决于蒂的位置。

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