用内镜超声波诊断的胃肉类发病症
Husam El Sharu1, Stephanie Ibarra1, Ammad Chaudhary2
1Department of Internal Medicine East Carolina University Greenville North Carolina USA.
Clinical case reports
|March 14, 2024
概括
胃肠道样症是罕见的,难以诊断的. 内镜超声波 (EUS) 对于识别胃颗粒瘤和指导持续腹部症状的患者的治疗至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 肺部病理学 肺部病理学
背景情况:
- 胃肠道型硬化症 (GS) 是型硬化症的一种不常见的表现.
- 非特定的腹部症状往往会延迟GS的诊断.
研究的目的:
- 要突出内镜超声波 (EUS) 在胃肠道类病的挑战性病例的诊断实用性.
- 为了强调在患有耐火性腹部症状的患者中考虑沙尔科毒症的重要性.
- 为了说明EUS如何指导GS的适当治疗.
主要方法:
- 一个46岁的女性病例报告,她15年来一直有耐火性腹部症状.
- 对诊断程序的审查,包括先前的活检和随后的EUS.
- 胃颗粒瘤的组织病理学确认.
主要成果:
- EUS揭示了突出的淋巴结和胃颗粒瘤,导致GS的诊断.
- 患者最初被误诊为周期性吐综合征,尽管先前进行了广泛的调查.
- EUS提供了其他方法遗漏的关键诊断信息.
结论:
- 内镜超声波是诊断胃肠道样症的宝贵工具,特别是在复杂的病例中.
- 考虑到在患有无法解释的,持续的腹部症状的患者中患有沙丘病的情况至关重要.
- 通过EUS进行准确的诊断有助于及时和适当地管理GS.
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