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[异位空肠胰腺继发胃肠道出血]

[Gastrointestinal hemorrhage secondary to heterotopic jejunal pancreas].

作者信息

Montalvo I I, Yuste R, Castiella A, Arriola A, Alzate L F, Saralegui Y, Elorza J L, Irazusta M, Toledano M, Madina I

机构信息

Servicio de Aparato Digestivo, Hospital Nuestra Señora de Aránzazu, San Sebastián.

出版信息

Gastroenterol Hepatol. 1995 Feb;18(2):78-80.

PMID:7621279
Abstract

A case of heterotopic pancreas located in the small intestine is herewith presented. The 19-years male patient had been admitted three times since 1991 for an anemic syndrome secondary to melena. The origin of the hemorrhage was not determined with the studies performed (intestinal transit, opaque enema, esophagogastroscopy, colonoscopy and gammagraphy with technetium 99). On the last admission a vascular lesion low flow was observed on arteriography of the upper mesenteric artery on the mesenteric edge of the proximal jejunum. Following laparotomy a small tumor was found in the jejunum and 5 cm of the intestine including the tumor was resected. The anatomic pathologic results demonstrated a heterotopic pancreas.

摘要

本文报告一例位于小肠的异位胰腺病例。该19岁男性患者自1991年以来因黑便继发贫血综合征已入院三次。通过所进行的检查(肠道造影、钡剂灌肠、食管胃镜检查、结肠镜检查以及锝99γ照相)未确定出血来源。在最后一次入院时,在肠系膜上动脉造影检查中,于空肠近端肠系膜缘发现一处低血流血管病变。剖腹手术后,在空肠发现一个小肿瘤,并切除了包括肿瘤在内的5厘米肠段。解剖病理学结果显示为异位胰腺。

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