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胃深部囊肿性胃炎的初始误诊：两例报告

Initial misdiagnosis of gastritis cystica profunda: Two case reports.

作者信息

Zheng Xiao-Li, Xu Long, Wang Jun

机构信息

Department of Gastroenterology, Shenzhen University General Hospital, Shenzhen 518000, Guangdong Province, China.

Department of Pathology, Shenzhen University General Hospital, Shenzhen 518000, Guangdong Province, China.

出版信息

World J Clin Cases. 2025 Aug 26;13(24):107098. doi: 10.12998/wjcc.v13.i24.107098.

DOI:10.12998/wjcc.v13.i24.107098
PMID:40862197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12207542/
Abstract

BACKGROUND

Gastritis cystica profunda (GCP) is a rare gastric disorder. It is characterized by non-specific symptoms and diagnostic complexity. This case report enriches the medical literature by highlighting challenges in diagnosing and treating GCP.

CASE SUMMARY

Two patients presented with non-specific abdominal symptoms, such as abdominal distension and epigastric discomfort. Initial misdiagnosis occurred due to GCP's non-typical manifestations. After thorough investigations, GCP was diagnosed. Endoscopic mucosal resection and endoscopic submucosal dissection were carried out. Both patients recovered uneventfully.

CONCLUSION

GCP diagnosis demands caution, and endoscopic treatment is effective.

摘要

背景

深部囊性胃炎（GCP）是一种罕见的胃部疾病。其特征为非特异性症状和诊断复杂性。本病例报告通过突出GCP诊断和治疗中的挑战丰富了医学文献。

病例摘要

两名患者出现腹胀和上腹部不适等非特异性腹部症状。由于GCP的非典型表现，最初发生了误诊。经过全面检查后，确诊为GCP。实施了内镜黏膜切除术和内镜黏膜下剥离术。两名患者均顺利康复。

结论

GCP的诊断需要谨慎，内镜治疗是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0a6/12207542/36aff0453cfb/wjcc-13-24-107098-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0a6/12207542/1b9447169b11/wjcc-13-24-107098-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0a6/12207542/36aff0453cfb/wjcc-13-24-107098-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0a6/12207542/1b9447169b11/wjcc-13-24-107098-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0a6/12207542/36aff0453cfb/wjcc-13-24-107098-g002.jpg

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本文引用的文献

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Double the Trouble: A Rare Finding of Gastritis Cystica Profunda in a Previously Unoperated Young Female with Concomitant Infection.双重麻烦：一名既往未接受过手术的年轻女性同时感染，罕见地发现了深部囊性胃炎。
Eur J Case Rep Intern Med. 2024 Sep 18;11(10):004845. doi: 10.12890/2024_004845. eCollection 2024.
2
Gastric cystica profunda: Another indication for minimally invasive endoscopic resection techniques?胃深部囊肿：微创内镜切除技术的另一个适应证？
World J Gastroenterol. 2024 Jul 21;30(27):3278-3283. doi: 10.3748/wjg.v30.i27.3278.
3
Revolutionizing Gastrointestinal Disorder Management: Cutting-Edge Advances and Future Prospects.
革新胃肠道疾病管理：前沿进展与未来前景
J Clin Med. 2024 Jul 8;13(13):3977. doi: 10.3390/jcm13133977.
4
Chronic active and atrophic gastritis as significant contributing factor to the development of gastric cystica profunda.慢性活动性和萎缩性胃炎是导致深部囊性胃炎发展的重要因素。
World J Gastroenterol. 2024 May 7;30(17):2308-2310. doi: 10.3748/wjg.v30.i17.2308.
5
Gastritis Cystica Profunda: A Rare Disease, a Challenging Diagnosis, and an Uncertain Malignant Potential: A Case Report and Review of the Literature.深部囊性胃炎：一种罕见疾病，诊断具有挑战性，恶性潜能不确定：病例报告及文献复习。
Medicina (Kaunas). 2023 Oct 4;59(10):1770. doi: 10.3390/medicina59101770.
6
Computed tomography features and clinical characteristics of gastritis cystica profunda.胃深部囊肿性胃炎的计算机断层扫描特征及临床特点
Insights Imaging. 2022 Jan 24;13(1):14. doi: 10.1186/s13244-021-01149-5.
7
Gastritis cystica profunda with predominant histiocytic reaction mimicking solid submucosal tumor.具有显著组织细胞反应的深部囊性胃炎，酷似实性黏膜下肿瘤。
Turk J Gastroenterol. 2020 Oct;31(10):726-728. doi: 10.5152/tjg.2020.19444.
8
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Ann Palliat Med. 2020 Sep;9(5):3668-3677. doi: 10.21037/apm-20-1253.
9
Gastritis cystica profunda in a previously unoperated stomach: a case report.未接受过手术的胃中的深部囊性胃炎：一例报告
World J Gastroenterol. 2015 Mar 28;21(12):3759-62. doi: 10.3748/wjg.v21.i12.3759.