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触手可抵达十二指肠:一种罕见的胃炎形式。

Tentacles Can Reach the Duodenum: A Rare Form of Gastritis.

作者信息

Manti Magdalini, Toskas Alexandros, Saunders Brian

机构信息

Gastroenterology, St Mark's Hospital, London, GBR.

出版信息

Cureus. 2024 Aug 31;16(8):e68288. doi: 10.7759/cureus.68288. eCollection 2024 Aug.

Abstract

Varioliform gastritis (VG) is a rare chronic gastritis characterized by mucosal protrusions with central depressions, typically found in the stomach. This paper discusses the first reported case of VG extending into the duodenum, involving a 68-year-old immunocompromised patient with a complex medical history, including prostate cancer and multiple comorbidities. The diagnosis was complicated by the presence of , which was treated successfully with eradication therapy consisting of amoxicillin and clarithromycin along with omeprazole. Highlighting the potential for VG to affect areas beyond the stomach, this case underscores the importance of considering VG in patients with unexplained hypoalbuminemia and gastrointestinal symptoms.

摘要

痘疮样胃炎(VG)是一种罕见的慢性胃炎,其特征为黏膜隆起伴中央凹陷,多见于胃部。本文讨论了首例报告的痘疮样胃炎累及十二指肠的病例,患者为一名68岁免疫功能低下的男性,有复杂的病史,包括前列腺癌和多种合并症。由于存在幽门螺杆菌,诊断较为复杂,采用阿莫西林、克拉霉素联合奥美拉唑的根除疗法成功治愈。该病例突出了痘疮样胃炎累及胃外区域的可能性,强调了在不明原因低白蛋白血症和胃肠道症状患者中考虑痘疮样胃炎的重要性。 (注:原文中“by the presence of ”后面似乎缺失内容,根据语境推测补充了“幽门螺杆菌”)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd7f/11440577/c793ed3f651c/cureus-0016-00000068288-i01.jpg

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