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Adult Antral Diaphragm Asociated with Gastroduodenal Ulcerations and Helicobacter Pylori Infection: Report of a Case

成人胃幽門橫膈合併胃及十二指腸潰瘍與幽門螺旋桿菌感染:一病例報告

摘要


我們報告一位57歲男性病患,因一個月之上腹不適及間斷性下消化道出血來求診。經上消化道X-光及胃鏡檢查發現胃幽門一環狀之狹窄合併有胃及十二指腸潰瘍。大腸鏡亦發現一1.5公分腺瘤性息肉在乙狀結腸處,且成功地以內視鏡將息肉切除。從胃幽門部發現有幽門螺旋桿菌,經兩星期之三合一療法,將幽門螺旋桿菌予以清除,且之後持續兩個月氫離子幫浦阻斷劑治療,追蹤3個月已完全無症狀。

並列摘要


We report a 57-year-old man presenting with epigastric discomfort and intermittent hematochezia for one month. Upper gastrointestinal X-rays and endoscopy disclosed an annular membranous septum with surrounding mucosal ulcerations at gastric antrum and multiple ulcers at duodenal bulb. Colonoscopy revealed a 1.5 cm pedunculated adenomatous polyp at sigmoid colon which was successfully resected endoscopically. Gastric antrum Helicobacter pylori infection was identified by a positive urease test (CLO test). Eradication of Helicobacter pylori infection was documented after 2-week triple therapy and proton pump inhibitor was given for another two months. He remained asymptomatic during 3 months' follow-up.

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