小肠淋巴管切除导致大规模胃肠道出血:一个病例报告
Farahnaz Safaei1, Amir Sadeghi1, Pardis Ketabi Moghadam1
1Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Middle East journal of digestive diseases
|August 7, 2023
概括
这项研究呈现了一种罕见的肠道淋巴管切开症病例,一种良性淋巴异常,在成年人中引起不明显的胃肠道出血. 通过深度肠镜检查证实了诊断,揭示了小肠中的扩张淋巴细胞.
科学领域:
- 胃肠病学 胃肠病学
- 血管医学 血管医学
- 病理学 病理学 病理学
背景情况:
- 淋巴管瘤是一种良性淋巴系统异常.
- 肠道淋巴管切开症是淋巴管瘤的一个亚组,很少影响小肠,主要是成人.
- 失去蛋白质的肠道病变是肠道淋巴结核病的常见症状.
研究的目的:
- 报告一个40岁的男性患有不明显的胃肠道出血的病例.
- 为了突出细肠异常的诊断过程.
- 确认肠道淋巴管切开症是患者症状的原因.
主要方法:
- 患者表现为长期存在不明显的明显胃肠道出血.
- 最初的上下胃肠道内镜.
- 深层肠镜用于小肠评估.
- 对发现的组织学检查.
主要成果:
- 正常的上下肠道内镜检查.
- 尽管补充了铁,但仍然存在持续的黑色素和贫血.
- 深度肠镜检查显示了多个白色斑点,符合扩张的淋巴管.
- 肠道淋巴结核病的组织学确认.
结论:
- 在成年人中,肠道淋巴管切除症可以呈现为模糊的明显胃肠道出血.
- 深层肠镜对于诊断小肠病理至关重要.
- 早期诊断和治疗对于因肠道淋巴管切开症而导致蛋白质丧失肠道病变的患者至关重要.
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