外伤后以囊内出血为首发症状的胃囊肿一例及文献回顾

Gastric duplication cyst with internal hemorrhage after trauma: A case report and literature review

背景胃囊肿(gastric duplication cysts,GDCs)是一种特殊的消化道囊肿,多发于婴幼儿时期,囊肿壁与胃壁相似,主要含有胃黏膜和平滑肌组织.病例概述本文报道1例GDCs囊内出血病例.本例患者外伤后突发腹部剧烈疼痛,结合其病史及相关检查术前曾误诊为肝囊肿囊内出血,术中探查发现囊肿基底部位于胃大弯侧.结论GDCs临床症状不典型,易误诊,其术前诊断主要依据影像学检查,以手术治疗为主.

BACKGROUND Gastric duplication cyst(GDC)is a special type of digestive tract cyst,which occurs mostly in infants and young children.The cyst wall is similar to the stomach wall and mainly consists of gastric mucosa and smooth muscle tissue.CASE SUMMARY Here we report a case of GDC with internal hemorrhage.This patient had severe abdominal pain after trauma.Based on her medical history and related examinations,she was misdiagnosed with hepatic cyst with internal hemorrhage.Intraoperative exploration revealed that the base of the cyst was located on the large curved side of the stomach.CONCLUSION The clinical symptoms of GDC are untypical,and it is easy to misdiagnose.The preoperative diagnosis is mainly based on imaging examination and surgery is the main therapy method.