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胃镜联合超声胃镜诊断食管、胃底黏膜下血肿1例及文献复习
引用本文:朱国玲,王巍峰,范开春,杨云生. 胃镜联合超声胃镜诊断食管、胃底黏膜下血肿1例及文献复习[J]. 军医进修学院学报, 2012, 33(8): 897-899
作者姓名:朱国玲  王巍峰  范开春  杨云生
作者单位:1. 解放军总医院,消化内科,北京,100853;唐山开滦医院,消化内科,唐山,063000
2. 解放军总医院,消化内科,北京,100853
摘    要:目的 报告罕见食管、胃底黏膜下巨大血肿1 例,提高对该病的认识及诊断能力.方法 回顾性分析我院2011 年4月经胃镜、胸部CT、超声胃镜检查证实的食管、胃底黏膜下血肿1 例,结合国内外文献,对本病诊治及预后进行分析讨论.结果 纵膈CT:食管管腔偏心性狭窄.胃镜:食管上中下段见一紫红色条形隆起,表面有棕色血泡,占据管腔1/3,延续至胃底.超声胃镜提示:病变位于黏膜层及黏膜下层.结论 食管、胃底黏膜下血肿是引起胸痛罕见病因之一,内科保守治疗预后好.

关 键 词:食管  黏膜下血肿  胃镜

Diagnosis of esophageal and gastric fundal submucosal hematoma by combined gastroscopy and ultrasonogastroscopy:A case report and review of literature
ZHU Guo-ling , WANG Wei-feng , FAN Kai-chun , YANG Yun-sheng. Diagnosis of esophageal and gastric fundal submucosal hematoma by combined gastroscopy and ultrasonogastroscopy:A case report and review of literature[J]. Academic Journal of Pla Postgraduate Medical School, 2012, 33(8): 897-899
Authors:ZHU Guo-ling    WANG Wei-feng    FAN Kai-chun    YANG Yun-sheng
Affiliation:1Department of Gastroenterology,Chinese PLA General Hospital,Beijing 100853,China;2Department of Gastroenterology,Tangshan Kailuan Hospital,Tangshan 063000,Hebei Province,China
Abstract:Objective To report a rare case of esophageal and gastric fundal submucosal giant hematoma in order to improve its diagnosis and understanding.Methods A rare case of esophageal and gastric fundal submucosal giant hematoma admitted to our hospital in April 2011 with its diagnosis confirmed by gastroscopy,chest CT and ultrasonogastroscopy was retrospectively analyzed with its diagnosis and prevention discussed according to its related domestic and foreign literature.Results Mediastinal CT showed an eccentric stenosis of esophageal lumen.Gastroscopy displayed a giant purplish red streak protuberance in the esophageal lumen with brown bloody vesicles on its surface,which occupied one third of the esophagus.Ultrasonogastroscopy demonstrated lesions in the mucosal and submucosal layer of esophagus and stomach.Conclusion Esophageal and fundal submucosal hematoma is one of rare reasons for chest pain with a good prognosis after conservative treatment.
Keywords:esophagus  submucosal hematoma  gastroscopes
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