Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, China. .
Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
J Gastrointestin Liver Dis. 2023 Jun 22;32(2):139. doi: 10.15403/jgld-4940.
This report showed the clinical manifestations of a 26-year-old patient who was admitted to our hospital with epigastric discomfort. Computed tomography (CT) showed a hyper-density linear object Esophagogastroduodenoscopy (EGD) revealed a submucosal bulge in the gastric antrum. And endoscopic ultrasonography (EUS) demonstrated a hyperechoic lesion with a posterior shadowing in the anechoic area. Based on the above results, a diagnosis of fishbone invasion into the antral submucosa was considered. Then endoscopic submucosal dissection (ESD) was performed and a 3-cm-long fishbone was extracted with the forceps. As a rare case, the imaging findings of the fishbone under the endoscopy and the computed tomography were described.
本报告介绍了一位 26 岁患者的临床表现，该患者因上腹部不适就诊于我院。计算机断层扫描（CT）显示食管胃十二指肠镜（EGD）示胃窦黏膜下隆起呈高密度线性物体。内镜超声（EUS）显示在无回声区域内有一个后影增强的高回声病变。根据上述结果，考虑诊断为鱼骨侵犯胃窦黏膜下。随后行内镜黏膜下剥离术（ESD），用活检钳取出一条 3 厘米长的鱼骨。由于该病例罕见，故描述了鱼骨在内镜和计算机断层扫描下的影像学表现。
