临床资料患者男性,33岁。近10个月来反复出现左上腹疼痛,饥饿时疼痛加重,时有恶心、呕吐。近2个月来因饮食不规则症状加重,空腹时曾呕吐过咖啡色液体并有黑便。体捡左季肋部及剑突下有轻度压痛,未扪及包块。血常规检查红细胞351万,血红蛋白10.7g,白细胞5625。剖腹探查见胃窦部胃小弯侧有一蕈状肿物突起,疑为胃癌而作根治手术。 Clinical data Patient Male, 33 years old. Pain in the upper left abdomen has been repeated for the past 10 months. Pain in hunger has increased and nausea and vomiting have occurred. In the past 2 months, due to irregular dietary symptoms, she had vomited brown liquid and had black stools on an empty stomach. There are mild tenderness, unsightly masses, and masses under the left ribs and xiphoid process. Routine examination of red blood cells 3.51 million, hemoglobin 10.7g, white blood cells 5625. The exploratory laparotomy revealed a verrucous mass protrusion on the small curvature side of the gastric antrum, which was suspected of radical gastrectomy for gastric cancer.