十二指肠肿瘤以良性为主,恶性罕见。十二指肠良性瘤包括腺瘤、平滑肌瘤、脂肪瘤、纤维瘤,血管瘤等。近来我院收治十二指肠血管瘤1例,报告如下。 患者,男,45岁,上腹间断疼痛已三年,1980年4月16日住院。三年前始上腹隐痛,多于饥饿及夜间发作,服解痛药或进食后缓解。常伴有吐酸和暖气。上消化道钡餐造影见十二指肠球部溃疡,服胃得宁半年腹痛消失。近半年来,上腹又疼痛,仍为间断隐痛,伴有压迫沉重感,虽经治疗,疼痛日重且频繁,尤以劳累、精神不畅及服冷硬食物为明显。入院前两周出现饭后上腹部胀满,无恶心和呕吐。其父死于直肠癌,其姐死于胃癌,母健在。 体检示一般情况好,发育正常,营养佳。无阳性所见。上消化道钡餐造影见十二指肠第二段有1.5×2cm充盈缺损区。纤维胃镜检查见血管和胃 Duodenal neoplasms are mainly benign and rare. Duodenal benign tumors include adenomas, leiomyomas, lipomas, fibroids, hemangiomas, and the like. Recently, one case of duodenal hemangiomas was treated in our hospital. The report is as follows. The patient, male, 45 years old, had intermittent pain in the upper abdomen for three years and was hospitalized on April 16, 1980. Three years ago, the upper abdomen began to suffer from pain, more than hunger and nocturnal episodes, and relieved after taking pain medications or eating. It is often accompanied by vomiting acid and heating. Upper gastrointestinal barium meal imaging sees duodenal ulcers, and the abdominal pain of the stomach and lining disappears after six months. In the past six months, the upper abdomen is still in pain, still intermittent pain, accompanied by oppression heaviness, although the treatment, the pain is heavy and frequent, especially fatigue, mental retardation and cold clothes as obvious. Two weeks before admission, there was fullness of the upper abdomen after meals, no nausea and vomiting. His father died of rectal cancer. His sister died of stomach cancer and his mother was still alive. Physical examination showed good general condition, normal development and good nutrition. No positive findings. The upper gastrointestinal barium meal imaging showed a 1.5×2cm filling defect in the second part of the duodenum. Fiber gastroscopy see blood vessels and stomach