胃周血液瘤伪装成胃瘤
Kevin Yang1, Nariman Hossein-Javaheri1, Naren Nallapeta1
1University at Buffalo, State University of New York, Buffalo, USA.
Case reports in gastrointestinal medicine
|August 30, 2023
概括
一种罕见的危胃血瘤在内镜检查中模仿了胃瘤. 使用内镜超声波证实了诊断,揭示了静脉血栓症作为可能的原因.
科学领域:
- 胃肠病学 胃肠病学
- 诊断成像 诊断成像 诊断成像
- 干预性放射学 干预性放射学
背景情况:
- 周胃和室内胃血瘤不常见,通常与创伤,凝血病或胃潰瘍疾病有关.
- 上部胃肠道血液瘤通常存在于食道或十二指肠.
研究的目的:
- 报告一种罕见的,模仿胃瘤的危胃血瘤病例.
- 突出内镜超声波 (EUS) 在区分血瘤和瘤的诊断实用性.
主要方法:
- 消化管胃管腺镜 (EGD) 用于初始可视化.
- 计算机断层扫描 (CT) 用于初始成像评估.
- 内镜超声波 (EUS) 用于病变的详细表征.
- 脊髓静脉血栓症 (SVT) 和附带血管的评估.
主要成果:
- 一名54岁的男性呈现出黑色素,最初怀疑是EGD和CT上的胃瘤.
- 欧盟实验室 (EUS) 发现的结果与危胃性血瘤一致.
- 血瘤与脏静脉血栓症和附带血管有关.
结论:
- 周胃血瘤可以呈现为胃瘤,需要先进的成像来准确诊断.
- 在区分血液瘤与胃肠道上部瘤病变方面,EUS至关重要.
- 尽管存在静脉血栓症,但选择了保守的管理方法.
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