一个罕见的胃输出口阻塞病例是由十二指肠癌引起的
1General Surgery, Garden City Hospital, Garden City, USA.
Cureus
|February 20, 2025
概括
一种罕见的十二指肠癌瘤模仿了胃衰竭,导致间歇性胃出口阻塞. 这种非功能性瘤需要手术切除,因为它具有阻塞性和转移的潜力.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 内分泌学 在内分泌学.
背景情况:
- 十二指甲癌瘤很少见,并且可以异常呈现.
- 胃出口阻塞可能会被误认为是胃,特别是在糖尿病患者中.
- 非功能性癌性瘤缺乏典型的癌性综合征症状和荷尔蒙分泌.
研究的目的:
- 报告一种罕见的十二指甲癌瘤病例,导致间歇性胃出口阻塞.
- 要突出由于异常呈现和并发症的诊断挑战.
- 讨论这种瘤的手术管理和监测策略.
主要方法:
- 病例报告详细介绍了临床表现,诊断工作和手术干预.
- 消化管胃管腺镜 (EGD) 用于直接可视化和活检.
- 十二指甲体质的手术切除.
主要成果:
- 一个移动的十二指甲癌瘤被发现间歇地通过胆柱体落,导致胃出口阻塞.
- 瘤是非功能性的,瘤标志物和甲基氨酸的阴性,基-67增殖指数低.
- 诊断因患者有失控糖尿病和胃衰竭病史而复杂化.
结论:
- 十二指肠癌类瘤可以异常呈现,模仿其他胃肠道疾病.
- 由于移动质量的间歇性阻塞,需要高度的临床怀疑才能准确诊断.
- 手术切除是为了治疗目的和预防并发症而进行的,监测对于复发至关重要.
相关概念视频
Esophageal Strictures-I: Introduction
55
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
55
Barrett Esophagus-I: Introduction
55
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
55
Peptic Ulcer Disease V: Surgical Management and Nursing Care
194
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
194
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
79
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.
79
Barrett Esophagus-II: Clinical Manifestations and Management
99
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
99
Peptic Ulcer Disease I: Introduction
119
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
119


