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Gastric syphilis mimicking gastric cancer: A case report

World Journal of Clinical Cases 2021年第26期9卷 7798-7804页

作者： Yan-Mei Lan Shang-Wen Yang Mu-Gen Dai Bin Ye Fei-Yun He Department of Gastroenterology The Fifth Affiliated Hospital of Wenzhou Medical UniversityLishui 323000Zhejiang ProvinceChina Department of Gastroenterology Lishui Chinese Medicine HospitalLishui 323000Zhejiang ProvinceChina

BACKGROUND The nonspecific clinical,radiological and pathological characteristics of gastric syphilis can establish it as an imitator of other gastric *** absence of primary or secondary lubricating lesions should not prevent consideration of gastric *** SUMMARY A 63-year-old female patient presented to the hospital with dull pain in the middle and upper abdomen without apparent cause for one week,which was aggravated for two *** patient had been sexually active with the same male partner for the past years,but her partner was *** contrastenhanced computed tomography(CT)and positron emission tomography/CT suggested gastric *** gastroscopy revealed an antral gastric ulcer with gastric retention,and also suggested gastric *** no cancer cells were found in the biopsies taken during the two *** pallidum(***)antibodies:ELISA positive,rapid plasma reagin titer 1:*** and eosin(HE)stain showed macrophage infiltration in the lamina *** spirochetes were observed by immunohistochemical staining using a monoclonal antibody against *** patient was finally diagnosed with gastric *** Only a few cases of gastric syphilis have been misdiagnosed as gastric *** can relieve symptoms of gastric syphilis.

关键词： Syphilis gastritis Misdiagnosis Gastric cancer Endoscopy Case report

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Acute pancreatitis as a rare complication of gastrointestinal endoscopy:A case report

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World Journal of Clinical Cases 2022年第13期10卷 4185-4189页

作者： Mu-Gen Dai Li-Fen Li Hai-Yan Cheng Jian-Bo Wang Bin Ye Fei-Yun He Department of Gastroenterology The Fifth Affiliated Hospital of Wenzhou Medical UniversityLishui 323000Zhejiang ProvinceChina Department of Gastroenterology Liandu District People's HospitalLishui 323000Zhejiang ProvinceChina Department of Nursing Liandu District People's HospitalLishui 323000Zhejiang ProvinceChina Department of Gastroenterology Lishui Chinese Medicine HospitalLishui 323000Zhejiang ProvinceChina

BACKGROUND Acute pancreatitis is an uncommon complication of gastrointestinal endoscopy,especially if the patient has none of the common risk factors associated with pancreatitis;such as alcoholism,gallstones,hypertriglyceridemia,hypercalcemia or the use of certain *** SUMMARY A 56-year-old female patient developed abdominal pain immediately after the completion of an upper gastrointestinal *** pain was predominantly in the upper and middle abdomen and was persistent and *** patient was diagnosed with acute *** included complete fasting,octreotide injection prepared in a prefilled syringe to inhibit pancreatic enzymes secretion,ulinastatin injection to inhibit pancreatic enzymes activity,esomeprazole for gastric acid suppression,fluid replacement and nutritional *** the next 3 d,the patient's symptoms *** patient remained hemodynamically stable throughout hospitalization and was discharged home in a clinically stable *** Pancreatitis should be considered in the differential diagnosis of abdominal pain after upper and lower gastrointestinal endoscopy.

关键词： Acute pancreatitis Gastrointestinal endoscopy Complication Bile reflux Case report

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