宫外胆道同时出现胃出血:关于一个病例的报告
Yuiko Nagasawa1, Masayuki Ohta2, Yuki Shitomi2
1Department of Surgery, Oita Oka Hospital, 3-7-11 Nishitsurusaki, Oita, Japan. y-nagasawa@oita-u.ac.jp.
Surgical case reports
|March 15, 2024
概括
一种罕见的先天性异常 - - 宫外胆道向胃开口 - - 可以导致显著的胃出血. 这一案例凸显了在患有不明原因上部胃肠道出血的患者中考虑这种情况的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 胆道系统异常 胆道系统异常
- 手术病理学手术病理学
背景情况:
- 宫外胆道开通到胃是罕见的先天性胆道系统异常.
- 很少有病例报告记录了这种异常与胃出血相关.
研究的目的:
- 为了呈现出一种与胃出血相关的宫外胆道病例.
- 讨论子宫外胆道与胃粘膜损伤之间的潜在联系.
主要方法:
- 一位75岁的妇女出现了严重的上部胃肠道出血 (吐血液,黑色斑).
- 胃的初始内镜血静没有成功,导致了腹腔镜远部胃切除术.
- 病理学检查证实出血源是子宫外胆道.
主要成果:
- 这种出血的胃被确定为源自子宫外胆道.
- 患者的术后过程是没有事件的.
- 对先前内镜的回顾检查显示,异常部位有一个凸起.
结论:
- 胃中的宫外胆道可以导致胃和出血.
- 胃下粘膜带的出血可能很少是由宫外胆道引起的.
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