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[一例以布伦纳腺错构瘤为消化道出血病因的病例]

[A case of Brunner's gland hamartoma as a cause of digestive tract hemorrhage].

作者信息

Rojas Ortega S, Sánchez Sosa S, San Román G R, Cesin Sánchez R, Arizpe Bravo D

机构信息

Departamento de Cirugía, Universidad Popular Autónomo del Estado de Puebla.

出版信息

Rev Invest Clin. 1995 Mar-Apr;47(2):139-42.

PMID:7610283
Abstract

A twenty six year old woman was admitted suffering an anemia syndrome, postprandial vomiting and intermittent melena of six months evolution. The hemoglobin was 3.5 g/dL: an endoscopy detected a large tumor in the duodenum with a 90% obstruction of the lumen. A biopsy reported an erosive, acute and chronic duodenitis. Subsequently a surgical exploration with duodenotomy showed a large nodular polyp attached to a stalk that was removed: a hamartomatous polyp of Brunner's glands was reported. It coursed with gastrointestinal bleeding and symptoms of duodenal obstruction, which are two of the most common symptoms of this rare tumor.

摘要

一名26岁女性因贫血综合征、餐后呕吐和持续6个月的间歇性黑便入院。血红蛋白为3.5 g/dL:内镜检查发现十二指肠有一个大肿瘤,管腔堵塞90%。活检报告为糜烂性急慢性十二指肠炎症。随后进行手术探查并行十二指肠切开术,发现一个附着在蒂上的大结节状息肉并将其切除:报告为布伦纳腺错构瘤息肉。它伴有胃肠道出血和十二指肠梗阻症状,这是这种罕见肿瘤最常见的两种症状。

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