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胃脂肪瘤在临床上少见。且术前难以诊断。本文报道一例经胃镜电凝切除,组织学诊断的胃脂肪瘤。 患者 女性,48岁,胃镜号18485。患者两月前始感上腹部隐痛,伴暖气,以夜为甚,无呕血及黑便。查体:腹平软,上腹部深压痛。胃镜检查示:胃窦近胃角处前壁见一约4.1cm×2.5cm大小息肉样物,表面光滑,色红,有蒂,息肉样物随胃蠕动达幽门口,时而堵塞幽门。活检钳触之似海棉样感。用圈套套扎息肉蒂
Gastric lipomas are rare in the clinic. And difficult to diagnose before surgery. This article reported a case of gastrinoscopic electrocoagulation and histological diagnosis of gastric lipoma. The patient was female, 48 years old, with a gastroscope number of 18485. The patient felt pain in the upper abdomen two months ago. He was accompanied by heating and was very sleepless. He did not have vomiting or black stools. Physical examination: The abdomen is soft and the upper abdomen is deeply tender. Gastroscopy showed: The antrum near the gastric antrum, see a polypoid of about 4.1cm x 2.5cm in the anterior wall of the gastric antrum, the surface is smooth, red, pedicle, polypoid material with the gastric motility up to the door, sometimes blocking the pylorus. Biopsy forceps feel like a sponge-like feel. Snare traps