Hakkal H G, Cigtay O S
South Med J. 1978 Dec;71(12):1569-70. doi: 10.1097/00007611-197812000-00034.
Prolapse of the gastric mucosa into the duodenum must be considered when a round soft tissue mass is seen in the right upper quadrant on scout abdominal film. Gastric prolapse may mimic tumor in the duodenum when the prolapse is large. Examination with barium meal is necessary to exclude prolapse of the gastric mucosa into the duodenum as a cause of epigastric pain and vomiting. Medical treatment is suggested for patients with mild symptoms, but patients with severe symptoms, repeated hemorrhage, anemia, severe intermittent epigastric pain and vomiting due to ball-valve syndrome should have operation.
当腹部平片在右上腹发现圆形软组织肿块时，必须考虑胃黏膜脱垂入十二指肠的情况。当胃脱垂较大时，可能会酷似十二指肠肿瘤。需要进行钡餐检查以排除胃黏膜脱垂入十二指肠是上腹部疼痛和呕吐的原因。症状较轻的患者建议进行内科治疗，但症状严重、反复出血、贫血、因球阀综合征导致严重间歇性上腹部疼痛和呕吐的患者应进行手术。
