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首页> 外文期刊>International Journal of Research in Medical Sciences >Adult hypertrophic pyloric stenosis due to peptic ulcer disease: a rare presentation
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Adult hypertrophic pyloric stenosis due to peptic ulcer disease: a rare presentation

机译：成人因消化性溃疡引起的肥大性幽门狭窄：一种罕见的表现

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摘要

Primary adult hypertrophic stenosis is uncommon with an uncertain etiopathogenesis and associated gastric outlet obstruction mimics gastric carcinoma. We present a case of AHPS as sequel of peptic ulcer disease in a 72 year old male. With the advent of proton pump inhibitors as a mainstay of medical therapy, complication into gastric outlet obstruction is a rare disease today. Upper GI endoscopy revealed a distended stomach, residual food and a hyperemic bulky pylorus not accommodating the endoscope. Barium meal follow-through revealed a dilated stomach and minimal barium passing through the pylorus. Histological analysis revealed mild dysplasia at the focus with dense inflammatory infiltrates composed of lymphocytes and eosinophils in the lamina propria. No evidence of malignancy was noted, favouring chronic gastritis. The condition mimics other forms of proliferative disorders like carcinoma, gastrointestinal stromal tumors. We present the clinical findings, imaging analysis and discuss etiopathogenesis and management.
机译：成人原发性肥厚性狭窄并不常见，其病因不明，相关的胃出口梗阻模仿胃癌。我们提出了一例AHPS作为72岁男性消化性溃疡疾病的后遗症。随着质子泵抑制剂的出现作为药物治疗的主要手段，并发阻塞胃出口成为当今罕见的疾病。上消化道内窥镜检查显示胃肿大，残留食物和充血性肥大幽门不适应内窥镜检查。钡餐随访显示胃扩张，钡穿过幽门。组织学分析显示，轻度的不典型增生集中在固有层，由淋巴细胞和嗜酸性粒细胞组成的密集的炎性浸润。没有发现恶性肿瘤的证据，有利于慢性胃炎。该疾病模仿其他形式的增生性疾病，例如癌，胃肠道间质瘤。我们介绍了临床发现，影像学分析并讨论了病因和治疗。

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