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本文报告一例用内窥镜活检十二指肠息肉而确诊为血吸虫病的病例。患者女性,63岁,来自加勒比海圣路西亚。主诉上腹部不适,有“烧灼”感。症状主要在早晨发生,进食或服制酸剂后能获得缓解。无溃疡病、发热、腹泻和便血史。数月前曾因跌倒而下腹部不适。两个月前因突发的完全性心脏传导阻滞而置入永久性心脏起搏器。体检:除上腹部有轻度触痛外,余均正常。胆固醇升高。腹部X线摄片、直肠镜检和空气对照钡剂灌肠检查均正常。作胃肠上段内窥镜检查,在十二指肠球部发现一个大小为1×1cm、有正常粘膜的无柄良性息肉。在该部位采集多份活检标本镜检,发现在一个肉芽肿内含有一个
This article reports a case of endoscopic biopsy of duodenal polyps diagnosed as schistosomiasis. Female patient, 63 years old, from St. Lucia, the Caribbean. The main complaint of abdominal discomfort, a “burning” sense. Symptoms mainly occur in the morning, after eating or taking antacids can be relieved. No ulcer disease, fever, diarrhea and history of blood in the stool. Abdominal discomfort caused by fall over a few months ago. Two months ago due to a sudden complete heart block and placed in a permanent pacemaker. Physical examination: In addition to mild tenderness on the abdomen, I was normal. Cholesterol is elevated. Abdominal X-ray, colonoscopy and air-contrast barium enema were normal. For the upper gastrointestinal endoscopy, in the duodenal bulb found a size of 1 × 1cm, the normal mucosa of the sessile benign polyps. Multiple biopsy specimens were collected at this site and found to contain one within a granuloma