十二指肠胃肠型肠套叠致上消化道出血。
Duodeno-duodenal intussusception presenting as upper gastrointestinal bleed.
机构信息
Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India.
Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India
出版信息
BMJ Case Rep. 2023 Aug 22;16(8):e250003. doi: 10.1136/bcr-2022-250003.
Duodeno-duodenal intussusception (DDI) is the type of intestinal intussusception in which a segment of the duodenum invaginates into the next part of the duodenum. We present a case of a male patient in his 50s presenting with right upper abdominal pain with multiple episodes of vomiting and a history of melena for 1 month. Imaging studies showed the presence of DDI without apparent growth. The patient underwent upper gastrointestinal endoscopy, which showed a doubtful growth in the duodenum, and the biopsy, was suggestive of adenocarcinoma. The patient underwent Whipple's procedure, and postoperative histology was diagnostic of Brunner's gland adenoma. The patient improved well without any complications.
十二指肠胃肠套叠（DDI）是一种肠套叠类型，其中一部分十二指肠嵌入到十二指肠的下一部分。我们报告了一例 50 多岁男性患者，其主要表现为右上腹痛，伴有多次呕吐，并有 1 个月黑便史。影像学检查显示存在 DDI，但无明显生长。患者接受了上消化道内镜检查，显示十二指肠存在可疑生长，活检提示腺癌。患者接受了 Whipple 手术，术后组织学诊断为布伦纳腺腺瘤。患者恢复良好，无任何并发症。
Zotero 插件