- 期刊
Spontaneous Regression of Pancreatic Pseudocyst Mimicking a Submucosal Tumor of the Stomach with Upper Gastrointestinal Bleeding: Report of a Case
以擬胃黏膜下腫瘤併上消化道出血表現之胰臟偽囊腫其自發性消失：一病例報告
摘要
胰臟偽囊腫出血是胰臟炎一嚴重之併發症，主要由胰臟偽囊腫侵犯至鄰近器官，特別是上消化道器官。其對胃部侵犯之內視鏡影像擬胃黏膜下腫瘤，並可往胃內部破裂形成上消化道出血。本病例報告為一66歲酗酒男性以解黑便2至3天表現。胃鏡檢查顯示在賁門處有一6公分之黏膜下腫瘤伴隨有潰瘍出血之情形。病理切片為潰瘍但並無惡性變化。腹部電腦斷層顯示從胰臟尾部至賁門處為一胰臟偽囊腫。此病人拒絕包括放射線科及外科之治療而採保守療法。6個月後胃鏡追蹤檢查顯示此胰臟偽囊腫已完全消失。
關鍵字
無資料並列摘要
Hemorrhage of a pancreatic pseudocyst is one of the severe complications of pancreatitis. Erosion into adjacent organs, especially into the upper gastrointestinal tract, by pancreatic pseudocysts has been reported. The endoscopic imaging of involvement of the stomach by pancreatic pseudocyst can mimic a submucosal tumor of the stomach, which may rupture into the stomach and manifest as upper gastrointestinal bleeding. We report a 66-year-old male with alcoholism who presented with tarry stool passage for 2 to 3 days. Panendoscopy revealed a protruding mass, measuring about 6 cm in diameter, with central ulceration and adherent blood clot located over the posterior wall of the cardia. Biopsy showed a focal ulcer with infiltration of inflammatory cells, but without evidence of malignancy. Computed tomography of the abdomen showed a cystic lesion extending from the pancreatic tail to the cardia of the stomach in favor of a pancreatic pseudocyst. He refused either radiologic or surgical treatment and was treated in a conservative way only. Follow-up panendoscopy showed a complete regression of the pseudocyst 6 month later.
延伸閱讀
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