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中华胃肠内镜电子杂志 ›› 2021, Vol. 08 ›› Issue (03) : 136 -139. doi: 10.3877/cma.j.issn.2095-7157.2021.03.011

所属专题: 经典病例

病例报告

内镜黏膜下剥离术治疗深在性囊性结肠炎1例
赵文婕1, 王选桐1, 李艳杰1, 杨松1, 雷宇峰1,()   
  1. 1. 030001 太原,山西省煤炭中心医院消化内科
  • 收稿日期:2021-03-25 出版日期:2021-08-15
  • 通信作者: 雷宇峰

A case of colitis cystica profunda treated by endoscopic submucosal dissection

Wenjie Zhao1, Xuantong Wang1, Yanjie Li1   

  • Received:2021-03-25 Published:2021-08-15
引用本文:

赵文婕, 王选桐, 李艳杰, 杨松, 雷宇峰. 内镜黏膜下剥离术治疗深在性囊性结肠炎1例[J]. 中华胃肠内镜电子杂志, 2021, 08(03): 136-139.

Wenjie Zhao, Xuantong Wang, Yanjie Li. A case of colitis cystica profunda treated by endoscopic submucosal dissection[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2021, 08(03): 136-139.

图1 深在性良性结肠炎白光镜下表现
图2 NBI下表现:隆起表面可见腺管开口为圆点状,微血管扩张
图3 CT检查:直肠肠壁局限性增厚,边界光整,病变无强化
图4 超声内镜检查:病变起源于黏膜下层,呈无回声改变,且有分隔形成,隆起顶端结节呈等回声偏高改变,所测径线约9.3mm×14.7mm;纵轴超声内镜下多普勒探查病变无血流信号
图5 ESD手术
图6 术后标本处理
图7 ESD术后病理诊断:黏膜轻度慢性炎,伴深在性囊性结肠炎隆起顶端结节为炎性结节
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