一个罕见的脊柱埋在胃内的病例
Mazen Farhat1, Karam Karam2, Philippe Attieh3
1Department of Gastroenterology and Hepatology, St George University of Beirut, Beirut, Lebanon.
European journal of case reports in internal medicine
|January 15, 2026
概括
胃辅助脏是一种罕见的先天性异常,可以模仿胃瘤. 使用内镜超声波导向活检进行准确的诊断可以防止这种良性疾病的不必要手术.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
- 手术瘤学手术瘤学
背景情况:
- 辅助脏 () 是由于脏合失败而产生的先天性异常.
- 最常见的是在脏或胰腺附近发现,很少在胃壁.
- 胃辅助脏可以模仿粘膜下瘤,造成诊断挑战.
研究的目的:
- 报告一个胃附属脏病例,该病例是在手术前确诊的.
- 要突出内镜超声波引导细针活检 (EUS-FNB) 的诊断实用性.
- 强调在胃下粘膜病变的差异诊断中考虑胃辅助脏的重要性.
主要方法:
- 一个37岁的男性的病例介绍,他患有腹上疼痛.
- 内镜检查显示了胃下粘膜质.
- 内镜超声波 (EUS) 和EUS引导的细针活检 (EUS-FNB) 与免疫组织化学.
主要成果:
- 在EUS中,胃壁中呈现出低声,均的病变.
- 在EUS-FNB中发现了淋巴结合物,沿海细胞和巨细胞.
- 免疫组织化学排除了其他瘤,证实了胃附属脏.
结论:
- 胃辅助脏是一种罕见的良性病症,以胃下粘膜质量呈现.
- EUS-FNB和免疫组织化学对于准确的诊断至关重要,避免过度治疗.
- 识别成像和组织病理特征可以防止误诊.
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