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Saskia D'Sa1, Charmaine Mziray-Andrew1,2, Prashanth Porayette1,2
1Department of Pediatrics, Southern Illinois University School of Medicine, Springfield, IL.
在直肠中的异型胃粘膜 (HGM) 是罕见的,特别是在儿童中. 这一案例突出显示HGM是导致幼儿直肠和出血的原因,需要进行内镜切除.
科学领域:
- 胃肠病学 胃肠病学
- 儿科手术 儿科手术
- 病理学 病理学 病理学
背景情况:
- 异型胃粘膜 (HGM) 是胃组织在胃外的存在.
- 在直肠中的HGM很少见,在儿科患者中报告的病例甚至更少.
- 直肠脱落是一种不常见但显著的直肠HGM表现.
研究的目的:
- 报告一个罕见的儿科直肠脱落病例,由异型胃粘膜引起.
- 强调对儿童直肠的诊断考虑.
主要方法:
- 一个2岁女孩的病例报告呈现了直肠脱落和无痛出血.
- 诊断评估包括内镜.
- 用质子抑制剂治疗,然后进行内镜粘膜切除.
主要成果:
- 确诊了直肠中异型胃粘膜的诊断.
- 通过内镜粘膜切除实现了HGM病变的完全切除.
- 患者的症状在术后得到缓解.
结论:
- 异型胃粘膜应在儿科患者直肠的差异诊断中考虑.
- 内镜管理可以有效的症状直肠HGM.
- 这个案例扩大了对儿童罕见的胃肠道表现的理解.
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