Antos Z, Tietz A, Bĕlohlávek O, Vasícek M
II. oddĕlenĭ pro choroby vnitrní Ustrední vojenské nemocnice Praha.
Vnitr Lek. 1994 Aug;40(8):513-6.
The authors describe the case of a 72-year-old man who suffered from marked digestive complaints for almost 50 years. They depended on the amount of food and the composition of the diet and during the last six years they led to attacks of severe epigastrial pain and backache associated with subileous conditions. Only enteroclysis led to a diagnostic solution. It revealed a parapapillary diverticulum of the duodenum and multiple diverticulosis of the upper jejunum. CT and scintigraphy, using autologous leucocytes labelled with 99mTc indicated the possible diverticulitis. Simple dietetic and therapeutic provisions eliminated completely the painful attacks and the patient's complaints were reduced to occasional slight flatulence.
作者描述了一位72岁男性的病例,他患有明显的消化问题近50年。这些问题取决于食物量和饮食组成,在过去六年中,它们引发了严重的上腹部疼痛和背痛,并伴有消化不良症状。只有小肠灌肠造影得出了诊断结果。它显示十二指肠乳头旁憩室和空肠上段多发憩室。使用用99mTc标记的自体白细胞进行的CT和闪烁扫描显示可能存在憩室炎。简单的饮食和治疗措施完全消除了疼痛发作,患者的症状减轻为偶尔轻微的肠胃胀气。