Dibuz M, Szabó T, Monoki E, Nagymélykuti L, Illyés M, Varga E, Csípö L
Röntgen Osztály, Csongrád Megyei Onkormányzat, Területi Kórház, Szentes.
Orv Hetil. 1998 Dec 6;139(49):2963.
Two cases of intramural hematoma arising in the duodenum and the stomach are reported. Both patients were male, aged 40 and 58 years, and suffered from chronic pancreatitis. Hematoma of the duodenal wall may have resulted from the acute exacerbation of the chronic pancreatitis in the first patient. As to the second case, continuous administration of Colfarit following myocardial infarction may have been causal to the gastric lesion. The initially suspected diagnosis in the first case, was pancreatic pseudocyst with obstruction of the duodenum while in the second case the gastric hematoma imitated a submucosus neoplastic process. The authors review clinical symptoms and therapeutic approaches of intramural hematomas of the proximal gastrointestinal tract. Literature data regarding etiology and therapy are presented.
本文报告了两例分别发生于十二指肠和胃的壁内血肿病例。两名患者均为男性，年龄分别为40岁和58岁，均患有慢性胰腺炎。第一例患者十二指肠壁血肿可能是由慢性胰腺炎急性加重所致。至于第二例，心肌梗死后持续服用可力洛可能是胃病变的病因。第一例最初怀疑的诊断是胰腺假性囊肿伴十二指肠梗阻，而第二例胃血肿则类似于黏膜下肿瘤性病变。作者回顾了近端胃肠道壁内血肿的临床症状和治疗方法，并列出了有关病因和治疗的文献数据。
