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患者男,56岁,无胃病史及诱因于1991年内先后两次觉上腹胀、不适,伴黑便。诊断上消化道出血两次住院,均经综合止血治疗后血止。第一次住院胃镜插到球部就退镜,诊断慢性胃窦炎。第二次住院的第四天再次胃镜检查,镜插到球部也未见可疑出血病灶,再深插至降部乳头处,见其下方后壁凸入肠腔约0.5cm,直径约1.5cm 的半球形隆起,表面光滑、柔软,无蒂,顶端潮红有线条样略凹陷,长0.3cm 溃疡面。活检病理诊断:
Male patient, 56 years old, without stomach history and incentive In 1991, he had abdominal distension, discomfort, and melena. Diagnosis of upper gastrointestinal bleeding two hospitalizations, both by hemostasis after comprehensive hemostasis. First inpatient endoscopy inserted into the ball on the back mirror, diagnosis of chronic gastritis. The second day of hospitalization again gastroscopy the fourth day, the mirror inserted into the ball did not see any suspicious bleeding lesions, and then inserted deep into the lower part of the nipple, see below the rear wall protruding into the intestine about 0.5cm, a diameter of about 1.5cm Hemispherical bulge, the surface is smooth, soft, pedicle-free, the top flushing slightly stripped line, long 0.3cm ulcer surface. Biopsy pathological diagnosis: