頁籤選單縮合
題 名 | 反復出血性十二指腸平滑肌瘤--病例報告=Leiomyoma of the Duodenum with Repeated Bleeding--Report of A Case |
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作 者 | 簡金盛; 吳運東; 王文彥; 曾冠欽; | 書刊名 | 內科學誌 |
卷 期 | 10:2 1999.04[民88.04] |
頁 次 | 頁77-79 |
分類號 | 415.553 |
關鍵詞 | 十二指腸平滑肌瘤; 中央臍凹性潰瘍; Duodenal leiomyoma; Central umbilical ulcer; |
語 文 | 中文(Chinese) |
中文摘要 | 一位68歲男性患者,半年前因解黑便而住院檢查,理學檢查發現有貧血及心跳 加快,血液常規檢查血色素11.3gm%,糞便潛血反應陽性,其他生化及腫瘤標記檢查均為正 常,心電圖檢查心博過速每分鐘110次。上消化道內視鏡檢查於十二指腸下行部有一粘膜下 腫瘤,中央潰瘍正在出血。上消化道鋇劑檢查於十二指腸下行部有一中央臍凹性腫瘤大小約 5公分直徑。病患因輸血後情況好轉而出院。最近幾天再次黑便而住院,追加腹部電腦斷層 檢查發現右側緊接胰臟頭部有一濃度均勻、邊緣清晰的腫瘤。上消化道內視鏡合併組織切片 檢查,病理報告為良性十二指腸平滑肌瘤。剖腹探查發現腫瘤接近華特氏壺腹及與上腸系膜 動脈粘連而施行胃空腸吻合術。 C |
英文摘要 | A 68-Year-old man was admitted due to melena on 6 months ago. Physical examination revealed anemia and tachycardia. Occult blood test of Stool was Positive and hemoglobin was 11 .3gm%. Endoscopic examination revealed a firm submucosal tumor with central bleeding ulcer on second portion of the duodenum. Upper GI Series showed a centrally umbilical tumor with size 5cm in diameter on second portion of the duodenum. Few days prior to this admission, Patient also complained of dizziness and melena again. CT Scan of the abdomen appeared a homogenous, well-defined mass on right side and adjacent to pancreatic head .Repeated endoscopic examination with biopsy was performed, Pathological diagnosis was leiomyoma. Due to the tumor near the Papilla of Vater and adhesion with superior mesenteric artery patient underwent gastrojejunostomy. |
本系統中英文摘要資訊取自各篇刊載內容。