摘要
这里继续介绍8例罕见消化系疾病的诊断与治疗。病例1为肥胖女性脂肪性肝病、肝硬化和肝细胞癌,癌肿存在已5年,曾使用多种提高免疫力药物和多种治疗,除少许腹水外,症状轻微,死前仍稍胖,这与其他疾病所致的肝硬化和肝癌不同。病例2为无包膜的良性局灶性肝结节性增生症,偶在体检时发现,另有1例在诊治布-加综合征时发现。病例3为国人少见的麸质食引起的乳糜泻,停止麸质食腹泻即终止。病例4为一家族性多发性结直肠息肉病,其兄弟姐妹与其子女们均患有这一疾病。病例5为多癌症,22年中发生6次原发性癌肿。病例6为一复发性胰腺炎合并胰腺癌。病例7为复发性胰腺炎,在急性发作康复期发现同时存在的胰腺癌。病例8为罕见的Cronkhite-Canada综合征。
The present series consisted of 8 rarely seen digestive system diseases.Case 1 was a female lived with hepatocellular carcinoma already for 5 years together with non-alcoholic fatty liver disease and cirrhosis.Symptoms were mild and scarce except some ascites.She remained somewhat obese before her death which differed greatly from other cancer deaths.Case 2 had benign focal hepatic nodular hyperplasia with absence of symptoms but good outcome.another similar case was found concomitantly with Budd-Chiari′s syndrome.Case 3 had celiac disease,a disease which was very rare in China.Case 4 had familial colorectal polypoidosis,her sister,brother and their children all suffered from the same disease.Case 5 had six primary cancers of different organs within 22 years.Case 6 had recurrent pancreatitis coexistent with pancreatic cancer.Case 7 had a large amebic liver abscess drained through hepato-pleurobronchial fistula and subsequently cured by anti-amebic therapy.Case 8 was a rare case of Cronkhite-Canada syndrome.
作者
巫协宁
汪佩文
WU Xiening;WANG Peiwen(Department of Gastroenterology,Shanghai First People′s Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200080,China)
出处
《胃肠病学和肝病学杂志》
CAS
2022年第4期449-450,共2页
Chinese Journal of Gastroenterology and Hepatology
关键词
罕见的消化系疾病
诊断与治疗
Rarely seen digestive system diseases
Diagnosis and treatment
