计算机断层扫描和内镜检测发现了多种胃异位症
Yuko Tasato1, Hiroaki Komesu2, Mayumi Shiroma2
1Gastroenterology, Naha City Hospital, Japan.
Revista espanola de enfermedades digestivas
|December 4, 2024
概括
一名男子在吃了生鱼后出现了严重的腹痛. 医生诊断出胃,从他的胃中移除了三只Anisakis幼虫,这解决了他的症状.
科学领域:
- 胃肠病学 胃肠病学
- 寄生虫学的寄生虫学
- 传染性疾病 传染性疾病
背景情况:
- 安西卡病是一种寄生虫感染,源于食用生或未煮熟的海鲜.
- 它会引起胃肠道疾病和过敏反应.
- 全球病例正在上升,需要提高认识.
研究的目的:
- 报告一种罕见的胃病病例,在CT上显著增加胃壁厚度.
- 为了突出严重的胃病的诊断和治疗方法.
- 强调海鲜安全和寄生虫意识的重要性.
主要方法:
- 一个36岁的男性患有急性腹痛的临床表现.
- 诊断成像 (CT扫描) 显示胃壁变厚.
- 上部胃肠道内镜用于直接可视化和幼虫切除.
主要成果:
- 脑电图扫描显示胃壁显著加厚.
- 内镜检查发现并从胃壁中移除了三个Anisakis幼虫.
- 患者的症状在幼虫被移除后完全消失.
结论:
- 在摄入海鲜后患有急性腹痛的患者应考虑胃.
- 通过内镜及时诊断和幼虫的去除对于症状的解决至关重要.
- 公共卫生意识和适当的海鲜处理对于预防至关重要.
相关概念视频
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
88
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
88
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
49
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
49
Endoscopic Procedures I: Esophagogastroduodenoscopy
67
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
67
Gastritis III: Clinical Manifestations and Management
157
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
157
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
49
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
49


