Singh A K, Cumaraswamy R C, Corrin B
Gut. 1969 Sep;10(9):735-7. doi: 10.1136/gut.10.9.735.
A 23-year-old woman presented with intractable iron-deficiency anaemia. A barium meal showed widespread mucosal abnormalities in the stomach and massive mucosal hypertrophy was found at laparotomy. Repeated tests for occult blood were negative but gastrointestinal haemorrhage was confirmed by isotopic blood labelling. In the face of persistent anaemia and radiological progression, total gastrectomy was performed, since when a normal blood picture has been maintained. The excised stomach showed hyperplasia of all the mucosal elements, minimal inflammation, and no obvious bleeding point. Blood loss was attributed to diapedesis from a greatly increased capillary network.
一名23岁女性因顽固性缺铁性贫血前来就诊。钡餐检查显示胃部广泛的黏膜异常，剖腹手术时发现大量黏膜肥厚。多次潜血试验均为阴性，但同位素血液标记证实存在胃肠道出血。鉴于持续贫血且影像学表现进展，遂行全胃切除术，自那以后患者维持了正常的血象。切除的胃显示所有黏膜成分增生，炎症轻微，且无明显出血点。失血归因于大量增加的毛细血管网的渗漏。
