患者男性,63岁,因返酸、嗳气、纳差4个月余,进行性加重4天伴呕吐就诊,门诊胃镜提示“复合性溃疡、返流性食管炎”。入院后胃镜及消化道造影检查提示“十二指肠梗阻”,遂行十二指肠下段切除术,手术顺利。病理检查眼观:小肠1段,长11 cm,最大周径5 cm,近一切端0·5 cm处见一溃疡型 Male patient, 63 years old, due to back to acid, belching, anorexia more than 4 months, progressive aggravating 4 days with vomiting, outpatient gastroscopy prompted “complex ulcer, reflux esophagitis.” Gastroscopy and digestive tract imaging after admission prompted “duodenal obstruction”, performed under the duodenum resection, the operation went well. Pathological examination Eye: Small intestine 1, length 11 cm, the maximum circumference of 5 cm, nearly all ends of 0 · 5 cm Department of an ulcer