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胃血吸虫病较少见,文献报道的胃血吸虫病均为胃壁的单病灶损害,少有双病灶损害报告。现将本院收治的1例双病灶胃血吸虫病误诊为胃癌报告如下。 患者,男,64岁。因左上腹隐痛1年余入院。查体:左中上腹可扪及一约6cm×15cm质硬包块,表面光滑,与周围粘连,活动度差,无压痛,脾肋缘下约1cm,边缘钝,质硬,表面光滑,无压痛。肝脾区无叩痛。实验室检查:血 CEA14ng/ml,ESP2.5mm/h。外院胃镜:胃小弯侧可见约4cm×3cm糜烂面,被覆白苔,触之易出血,由于外院条件有限,未行活检。B超、CT均提示:胃癌伴淋巴结转移;血吸虫性肝硬变。在持续硬膜外麻醉下行剖腹探查、胃-空肠吻合术。术中见肝脏缩小、硬、呈大结节状。胃窦小弯侧有约7.0cm×
Gastric schistosomiasis is rare, and gastric schistosomiasis reported in the literature is a single lesion of the stomach wall, with few reports of double lesion lesions. Now admitted to our hospital in 1 case of double lesions misdiagnosis of stomach schistosomiasis stomach cancer report is as follows. Patient, male, 64 years old. Due to left upper quadrant pain more than 1 year admitted to hospital. Check the body: left upper abdomen palpable and about 6cm × 15cm quality hard mass, the surface is smooth, with the surrounding adhesions, poor mobility, no tenderness, about 1cm under the splenic margin, blunt edge, hard, smooth, No tenderness. No percussion pain in liver and spleen area. Laboratory tests: blood CEA14ng / ml, ESP2.5mm / h. Outside the hospital gastroscopy: small curved side of the stomach can be seen about 4cm × 3cm erosion surface, covered with white moss, easy to touch the bleeding, due to limited conditions outside the hospital, no biopsy. B ultrasound, CT tips: gastric cancer with lymph node metastasis; schistosomiasis cirrhosis. Under continuous epidural anesthesia underwent laparotomy, stomach-jejunum anastomosis. See the liver surgery shrink, hard, was a large nodular. Antral lesser curvature about 7.0cm ×