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頁籤選單縮合
| 題 名 | Adult Duodenal Web: Report of a Case=成年人之十二指腸膜:一病例報告 |
|---|---|
| 作 者 | 黃俊彥; 辛政憲; 方俊慧; 英恭史; 黃仁杰; 黃裕庭; | 書刊名 | 中華民國消化系醫學雜誌 |
| 卷 期 | 14:4 1997.12[民86.12] |
| 頁 次 | 頁9-13 |
| 分類號 | 416.243 |
| 關鍵詞 | 十二指腸; 膜; Duodenum; Web; |
| 語 文 | 英文(English) |
| 中文摘要 | 十二指腸膜是發生在嬰兒期之腸道阻塞的第三大好發病因,但是在成年人卻很罕見,在此我們報告一個病例。病人是一位54歲的女性,她從青春期開始就有陣發性的腹脹及用餐後嘔吐的情形。最近一個月她又開始有用餐後噁心及間歇性的胃痛,這些症狀會因為自發性催吐後而獲得緩解。上消化道鋇劑攝影檢查及泛內視鏡檢查後診斷為十二指腸膜。病人在接受十二指腸膜的切除手術術後,症狀完全消失,經過兩年多的追蹤檢查後,病人仍然狀況良好且沒有復發的情形。 |
| 英文摘要 | Duodenal web is the third leading cause of alimentary tract obstruction in infancy, but rarely presents in adulthood. We report a case of a 54-year-old woman admitted with complaints of postprandial nausea, intermittent epigastric pain, and body weight loss for one month. The symptoms could be relieved by self-induced vomiting. She had suffered from episodes of abdominal fullness and postprandial nausea since adolescence. Upper gastrointestinal barium study and panendoscopy revealed a duodenal web. She received exploratory laparotomy. Longitudinal incision over the second portion of duodenum was made and web excision was done. The patient remained asymptomatic and has been doing well in more than two years of follow-up. To our knowledge, this is the first reported case of adult duodenal web in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。