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超声诊断为胃腺癌继发胃出口梗阻

Gastric Outlet Obstruction Secondary to Gastric Adenocarcinoma Diagnosed on Ultrasonography.

作者信息

Reddy Ravikanth

机构信息

Department of Radiology, St. John's Hospital, Kattappana, Kerala, India.

出版信息

J Microsc Ultrastruct. 2022 Feb 4;12(2):91-93. doi: 10.4103/jmau.jmau_141_20. eCollection 2024 Apr-Jun.

Abstract

Gastric outlet obstruction often manifests as a result of mural, luminal, or extrinsic compression. Due to capacity of the stomach to distend 2-4 L after food intake, gastric outlet obstruction secondary to a malignant cause goes often undetected clinically until a high-grade obstruction develops. Gastric adenocarcinoma seldom manifests as gastric outlet obstruction secondary to a partially obstructing mass or a stricture that develops due to peptic ulceration. Fatal sequelae and serious complications of gastric outlet obstruction may result when early detection and appropriate intervention such as gastric decompression and surgical resection are delayed. This report describes a rare case of gastric adenocarcinoma causing gastric outlet obstruction diagnosed on ultrasonography in a 40-year-old female.

摘要

胃出口梗阻常因壁内、管腔内或外在压迫而出现。由于进食后胃能够扩张至2 - 4升,继发于恶性病因的胃出口梗阻在临床上往往直到出现高度梗阻时才被发现。胃腺癌很少表现为继发于部分阻塞性肿块或消化性溃疡形成的狭窄导致的胃出口梗阻。如果早期检测以及诸如胃肠减压和手术切除等适当干预措施延迟,可能会导致胃出口梗阻的致命后果和严重并发症。本报告描述了一例罕见的40岁女性胃腺癌导致胃出口梗阻的病例,该病例通过超声检查得以诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/979c/11245134/d71811225c59/JMAU-12-91-g001.jpg

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