胃心脏瘤并发症与大量的胃肠道出血:一个罕见的病例报告
Zhaohui Liu1, Yaru Lei2, Dayong Sun1,2
1The Department of Gastroenterology, Shenzhen Second People's Hospital, First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China.
Medicine
|July 9, 2025
概括
一种罕见的胃心脏瘤在20岁以下的患者中引起了大量的胃肠道出血. 内镜超声波引导细针吸收活检证实了诊断,导致成功治疗.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 报告了一种罕见的胃心脏瘤病例,呈现出大量的胃肠道出血.
- 突出了这一点,这是第一个在20岁以下的患者中报告的病例.
- 指出常规活检的诊断挑战,强调需要先进的技术.
研究的目的:
- 在一个年轻的患者身上呈现一种独特的胃心脏瘤病例.
- 为了强调内镜超声波引导细针吸收活检 (EUS-FNB) 的诊断实用性.
- 提高对青少年上部胃肠道出血的罕见原因的认识.
主要方法:
- 一名20岁以下的患者出现了急性上部胃肠道出血.
- 诊断程序包括紧急胃镜检查,计算机断层扫描和EUS-FNB.
- 患者接受了全胃切除术,以诊断出患有瘤的患者.
主要成果:
- 病理诊断证实了胃心脏瘤.
- 患者经历了胃切除术后的乳腺瘤的完全消失.
- 在1个月的随访期间,没有观察到症状的复发.
结论:
- 在患有胃肠道出血的年轻患者中,应考虑像胃心脏瘤这样的罕见疾病.
- EUS-FNB是诊断粘膜下瘤的关键工具.
- 早期和准确的诊断对于有效管理罕见的胃肠道疾病至关重要.
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