患有阿尔波特综合征的儿科扩散性食道肌病
Pornsri Thanachatchairattana1, Paul Losty2
1Surgery, Mahidol University Faculty of Medicine Ramathibodi Hospital, Bangkok, Thailand jiabsi@yahoo.com.
BMJ case reports
|August 23, 2024
概括
扩散性食道肌瘤,这是儿童罕见的良性疾病,可能会出现呼吸系统问题. 通过活检和手术切除进行早期诊断对于有效治疗至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 罕见疾病 罕见疾病
- 手术病理学手术病理学
背景情况:
- 扩散性食道肌瘤是一种罕见的食道的良性光滑肌肉瘤,主要影响儿科患者.
- 患者可能呈现非特异性症状,如消化不良和复发性呼吸道感染,延迟诊断.
研究的目的:
- 在患有阿尔波特综合征的儿童中呈现扩散性食道菌病例.
- 审查有关儿科扩散性食道肌瘤的当前文献,并讨论诊断和管理策略.
主要方法:
- 一个儿科患者的病例报告,患有复发性呼吸道感染.
- 关于扩散性食道菌病的世界文献综述.
- 诊断工作包括成像,内镜,活检和脏活检.
- 通过Ivor-Lewis食道胃切除术和Heineke-Mikulicz胆囊成形术进行手术管理.
主要成果:
- 这名患者被诊断为I型扩散性食道肌病和阿尔波特综合征.
- 进行了手术切除,导致治愈.
- 文献审查证实,在某些情况下,食道肌病与阿尔波特综合征之间存在关联.
结论:
- 在儿科患者中,应怀疑扩散性食道肌病,特别是当与阿尔波特综合征相关时,应怀疑患有失消或呼吸系统症状的儿科患者.
- 内镜超声波导向活检对于诊断至关重要.
- 手术切除是扩散性食道菌病的最终治疗方法.
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