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胃小弯处的巨大纤维血管性息肉:一例报告及文献复习

Large Fibrovascular Polyp at the Lesser Curvature of the Stomach: A Case Report and Literature Review.

作者信息

Nguyen Huy Q, Phan Huy L, Dang Toan K, Mai Hung D, Tran Hien T, Tran Pham Nguyen K

机构信息

Department of General Surgery, People's Hospital 115, Ho Chi Minh, VNM.

出版信息

Cureus. 2024 Nov 23;16(11):e74293. doi: 10.7759/cureus.74293. eCollection 2024 Nov.

DOI:10.7759/cureus.74293
PMID:39717340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11666299/
Abstract

Fibrovascular polyps are rare, pedunculated, tumor-like lesions usually found in the esophagus. Their occurrence in the stomach is exceedingly rare. In the literature review, several case reports documented fibrovascular polyps developing in the stomach. In this article, we presented a case of a large fibrovascular polyp at the stomach's lesser curvature, protruding from the lesser curvature forward to the vascular spleen and the tail of the pancreas. The patient was admitted with signs of severe blood loss and underwent splenectomy with a misdiagnosis of splenic rupture at a secondary hospital before. The surgery was performed to remove the fibrovascular polyp with wedge gastric resection and distal pancreatectomy.

摘要

纤维血管性息肉罕见,有蒂,呈肿瘤样病变,通常见于食管。其在胃中极为罕见。在文献综述中,有几例病例报告记录了胃内发生的纤维血管性息肉。在本文中,我们报告了一例位于胃小弯处的巨大纤维血管性息肉,从胃小弯向前突出至脾血管和胰尾。该患者因严重失血症状入院,之前在一家二级医院被误诊为脾破裂并接受了脾切除术。此次手术通过楔形胃切除术和远端胰腺切除术切除了纤维血管性息肉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c244/11666299/be34bf98f946/cureus-0016-00000074293-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c244/11666299/8488ab621437/cureus-0016-00000074293-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c244/11666299/3e70308228d3/cureus-0016-00000074293-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c244/11666299/96d4948314e3/cureus-0016-00000074293-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c244/11666299/be34bf98f946/cureus-0016-00000074293-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c244/11666299/8488ab621437/cureus-0016-00000074293-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c244/11666299/3e70308228d3/cureus-0016-00000074293-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c244/11666299/96d4948314e3/cureus-0016-00000074293-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c244/11666299/be34bf98f946/cureus-0016-00000074293-i04.jpg

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本文引用的文献

1
Giant fibrovascular polyps of the esophagus. Trans oral versus surgical approach. Case report and systematic literature review.食管巨大纤维血管性息肉。经口与手术治疗方法。病例报告及系统文献综述。
Int J Surg Case Rep. 2022 Aug;97:107412. doi: 10.1016/j.ijscr.2022.107412. Epub 2022 Jul 13.
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Esophageal Lipoma and Liposarcoma: A Systematic Review.食管脂肪瘤和脂肪肉瘤:系统评价。
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Endoscopic resection for giant oesophageal fibrovascular polyp.
巨大食管纤维血管性息肉的内镜切除术
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Asphyxia Caused by a Giant Fibrovascular Polyp of the Esophagus.食管巨大纤维血管息肉导致的窒息
ACG Case Rep J. 2019 Jul 23;6(7):e00126. doi: 10.14309/crj.0000000000000126. eCollection 2019 Jul.
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A Case of Fibrovascular Polyp of the Stomach: Sonographic and Computed Tomographic Findings.胃纤维血管息肉一例:超声及计算机断层扫描表现
Iran J Radiol. 2016 Jan 16;13(4):e28230. doi: 10.5812/iranjradiol.28230. eCollection 2016 Oct.
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A case of large fibrovascular polyp of the stomach.一例胃巨大纤维血管性息肉。
Clin Endosc. 2013 Mar;46(2):186-8. doi: 10.5946/ce.2013.46.2.186. Epub 2013 Mar 31.
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Lipomatous tumors of the stomach: CT findings and differential diagnosis.胃脂肪瘤性肿瘤:CT表现及鉴别诊断
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AJR Am J Roentgenol. 1996 Apr;166(4):781-7. doi: 10.2214/ajr.166.4.8610549.
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Giant fibrovascular polyp of the esophagus.食管巨大纤维血管性息肉
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