由于头瘤造成的消化道出血:一列火车可以隐藏另一个-A病例报告
Kammoun Neirouz1, Trabelsi Mohamed Mehdi1, Khalfallah Mehdi1
1Department B of Surgery, Charles Nicolle Hospital, Tunis, Tunisia.
SAGE open medical case reports
|March 18, 2024
概括
胃肠道 stromal 瘤 (GIST) 是罕见的,特别是在引起活跃出血和内的时候. 这种病例突出显示了一种带有黑色素和内肠接的状肠瘤,通过手术成功治疗.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 胃肠道 stromal 瘤 (GIST) 是消化道中瘤中最常见的瘤,起源于Cajal.的间歇性细胞.
- 胃肠瘤通常发生在胃 (60%) 和小肠 (30%),小肠瘤约占小肠瘤的40%.
- 这些瘤在调节消化周平静方面发挥着作用,因为它们起源于心脏起器细胞.
研究的目的:
- 报告一例罕见的阴性GIST病例,该病例呈现出活跃的出血和小肠内.
- 为了强调与这种罕见的GIST演示相关的诊断和管理挑战.
主要方法:
- 一名36岁的男性呈现出黑色素,这导致通过CT扫描发现了一种导致静脉瘤的瘤.
- 由于有活跃的出血,进行了紧急腹腔切除术,切除了受影响的头骨段,随后进行了解剖.
- 组织病理学检查证实诊断出一种 stromal 瘤.
主要成果:
- 鉴定出一个2厘米长的关结肠瘤 (GIST) 是导致活跃出血和内的原因.
- 手术切除和解肠切除成功进行.
- 手术后恢复没有发生任何事件,病理学证实了瘤诊断.
结论:
- 这一案例凸显了在对模糊的胃肠道出血和肠接的差异诊断中考虑GIST的重要性,即使在年轻患者中也是如此.
- 及时的手术干预对于管理GIST引起的活跃出血和内置至关重要.
- 成功的手术管理可以在罕见的GIST呈现中带来有利的结果.
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