孤立的胃肉芽肿性疾病。

A Joós, I Pulay, Z Máthé, G Szinay
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引用次数: 0

摘要

本文报告一例66岁女性患者的孤立性肉芽肿性胃炎。胃肉芽肿引起幽门狭窄,在第一次探查性剖腹手术时,这种变化被误诊为不能手术的肿瘤。然后胃镜检查显示消化性溃疡的存在,在药物治疗下完全愈合。在2年后复发的第二次手术干预中,Billroth II型胃切除术导致完全恢复;从那时起,病人就不再抱怨了。提示除消化性溃疡和肿瘤外,孤立性胃肉芽肿病可能是幽门狭窄的潜在机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Isolated granulomatous disease of the stomach.

A case of isolated granulomatous gastritis observed in a 66-year-old female patient is reported. The gastric granulomatosis gave rise to pyloric stenosis, and at the first explorative laparotomy the change was misdiagnosed for an inoperable tumour. Gastroscopy then revealed the presence of a peptic ulcer, which healed completely on drug therapy. At the second surgical intervention undertaken on account of a relapse after 2 years, Billroth II type resection of the stomach led to complete recovery; the patient has been free from complaints ever since. It is suggested that in addition to peptic ulcer and tumour, isolated gastric granulomatosis should be taken into consideration as the underlying mechanism of pyloric stenosis.

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