一例儿童危及生命的肠系膜上动脉综合征并发神经性厌食症的胃气胀病及其胃镜检查结果。

IF 1.3 Q3 PEDIATRICS
Jeong Ho Seo, Inwook Lee, Saehan Choi, Seung Yang, Yong Joo Kim
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引用次数: 0

摘要

一名14岁女孩因胆汁过多、呕吐和严重腹痛被送入急诊室。她一直很健康,直到她在6个月的时间里故意减掉了25公斤。粘稠的、带血的胆汁混合的食物颗粒通过鼻胃导管从胃中排出。腹部计算机断层扫描显示巨大的胃扩张,伴有广泛的胃积气,可能接近破裂,急性胰腺炎,十二指肠三分之一非常狭窄,表明肠系膜上综合征。胃纤维镜检查显示胃内有多处出血性溃疡和许多珠状囊性病变。实验室检查结果显示,关键营养素(包括铁、锌、蛋白质和前白蛋白)严重缺乏,以及与营养不良相关的内分泌并发症,如甲状腺功能减退和促性腺功能减退。内镜下清除滞留的胃内容物后,过度呕吐停止。经过3天的支持性护理,胃积气有所改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Gastric Pneumatosis and Its Gastrofibroscopic Findings in Life-Threatening Superior Mesenteric Artery Syndrome Complicated by Anorexia Nervosa in a Child.

Gastric Pneumatosis and Its Gastrofibroscopic Findings in Life-Threatening Superior Mesenteric Artery Syndrome Complicated by Anorexia Nervosa in a Child.

Gastric Pneumatosis and Its Gastrofibroscopic Findings in Life-Threatening Superior Mesenteric Artery Syndrome Complicated by Anorexia Nervosa in a Child.

Gastric Pneumatosis and Its Gastrofibroscopic Findings in Life-Threatening Superior Mesenteric Artery Syndrome Complicated by Anorexia Nervosa in a Child.

A 14-year-old girl was admitted to the emergency department for excessive bile-containing vomiting and severe abdominal pain. She had been healthy until she intentionally lost 25 kg over a 6-month period. Thick, bloody bile-mixed food particles were drained from the stomach through a nasogastric tube. Abdominal computed tomography revealed huge stomach dilatation with extensive gastric pneumatosis, possible near rupture, acute pancreatitis, and a very narrow third of the duodenum, indicating superior mesenteric syndrome. Gastrofibroscopy revealed multiple hemorrhagic ulcers and numerous bead-like cystic lesions in the stomach. Laboratory examination results were notable for severe deficiencies in critical nutrients, including iron, zinc, proteins, and prealbumin, as well as undernutrition-associated endocrine complications such as hypothyroidism and hypogonadotropic hypogonadism. Excessive vomiting ceased after the endoscopic removal of stagnant gastric contents. Gastric pneumatosis improved after 3 days of supportive care.

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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
43
期刊介绍: Pediatric Gastroenterology, Hepatology and Nutrition (Pediatr Gastroenterol Hepatol Nutr), an official journal of The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition, is issued bimonthly and published in English. The aim of Pediatr Gastroenterol Hepatol Nutr is to advance scientific knowledge and promote child healthcare by publishing high-quality empirical and theoretical studies and providing a recently updated knowledge to those practitioners and scholars in the field of pediatric gastroenterology, hepatology and nutrition. Pediatr Gastroenterol Hepatol Nutr publishes review articles, original articles, and case reports. All of the submitted papers are peer-reviewed. The journal covers basic and clinical researches on molecular and cellular biology, pathophysiology, epidemiology, diagnosis, and treatment of all aspects of pediatric gastrointestinal diseases and nutritional health problems.
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