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良性消化性溃疡作为胃结肠瘘的一个病因

Benign Peptic Ulcer as a Cause of Gastrocolic Fistula.

作者信息

Haddadin Rakahn, Aboujamra Danny, Iqbal Humzah, Trad George, Ali Ahmed

机构信息

Department of Internal Medicine, HCA Healthcare, MountainView Hospital, Las Vegas, NV.

St. George's University School of Medicine, University Centre Grenada, West Indies, Grenada.

出版信息

ACG Case Rep J. 2024 Apr 26;11(5):e01349. doi: 10.14309/crj.0000000000001349. eCollection 2024 May.

Abstract

Gastrocolic fistula is a rare complication and can occur in various conditions, most commonly gastric or colonic adenocarcinoma, followed by benign gastric ulcers secondary to nonsteroidal anti-inflammatory drug use. We report a case of an 82-year-old man with a benign peptic ulcer that led to a gastrocolic fistula, which was not associated with a history of nonsteroidal anti-inflammatory drug use or malignancy. The exact cause of this patient's gastrocolic fistula is unclear, but the patient's medical history of microscopic lymphocytic colitis may have increased his risk of fistula formation.

摘要

胃结肠瘘是一种罕见的并发症,可发生于多种情况,最常见于胃或结肠腺癌,其次是使用非甾体抗炎药继发的良性胃溃疡。我们报告一例82岁男性,其良性消化性溃疡导致了胃结肠瘘,该病例与非甾体抗炎药使用史或恶性肿瘤无关。该患者胃结肠瘘的确切病因尚不清楚,但患者微小淋巴细胞性结肠炎的病史可能增加了瘘管形成的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06da/11049781/7cb0e43d4bee/ac9-11-e01349-g001.jpg

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