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老年患者胃十二指肠套叠:一例罕见病例。

Gastroduodenal intussusception in an elderly patient: A rare case.

作者信息

Mendelow Eytan, Weinberger Andrew, Gorynski Michael

机构信息

Emergency Medicine, NYU Long Island.

出版信息

Am J Emerg Med. 2025 Feb;88:275.e1-275.e4. doi: 10.1016/j.ajem.2024.11.071. Epub 2024 Nov 24.

DOI:10.1016/j.ajem.2024.11.071
PMID:39613534
Abstract

Gastroduodenal intussusception is a rare but important cause of gastric outlet obstruction, particularly in elderly patients. We present the case of an 81-year-old female who arrived at the emergency department with complaints of epigastric pain, nausea, and vomiting. A CT scan revealed gastroduodenal intussusception, while subsequent endoscopy identified a submucosal mass, raising suspicion for either a gastrointestinal stromal tumor (GIST) or pancreatic rest. This case report highlights the diagnostic process, therapeutic considerations, and clinical outcomes, with a review of the relevant literature.

摘要

胃十二指肠套叠是胃出口梗阻的一种罕见但重要的病因,尤其是在老年患者中。我们报告一例81岁女性患者,她因上腹部疼痛、恶心和呕吐到急诊科就诊。CT扫描显示胃十二指肠套叠,随后的内镜检查发现一个黏膜下肿块,怀疑是胃肠道间质瘤(GIST)或胰腺残余组织。本病例报告重点介绍了诊断过程、治疗考虑因素和临床结果,并对相关文献进行了综述。

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