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A case report of duodenal tuberculosis

Pyloric obstruction is not barrier to admission. Right upper abdominal discomfort often three years, two years ago, acupuncture Cheung sudden abdominal pain, sweating, continuing three days, from clothing stomach better. Later, low appetite. Whole body discomfort, night sweats from time to time in the past year, abdominal swelling, vomiting after the disappearance of shame, has done several visits and other tests, barium meal examination found no abnormalities, vomiting treatment by nervous symptoms increased day by day. Denied history of exposure to tuberculosis. Blood pressure check}: 14. s/i0.5KFa, pulse: 72 beats / min, body temperature; 36.5 ℃. Weight loss, skin furosemide dry, no anemia, no subcutaneous bleeding, cardiovascular, urinary, reproductive, skeletal abnormalities were not found, superficial lymph node enlargement, seen in the increased abdominal gastric peristaltic wave vibration type and the water sound obvious, right upper quadrant tenderness with light moving, local hard and tough, to touch the clear header, mining abdomen normal, chest X-ray. Beam that active tuberculosis, upper gastrointestinal barium meal: the Ministry of J elongated stomach was rustic horns, body of stomach expansion expansion, dry film shallow and disorder, peristaltic wave is not obvious, two hours after the barium meal did not pass l H. Wu, experimental Room check, ESR 4pl / H, the normal resistance urine pyloric obstruction, surgical treatment of gastric dilatation. Intraoperative findings. Expansion more than doubled in the stomach, duodenal bulb had goose egg too much mass, wall thickening, enlarged lymph nodes around the cluster, its too small to ~ hard, and head of the pancreas, liver and stomach ligaments, liver thousand duodenum ligament close and hard adhesion, adhesion of the duodenum near pylorus due to bend into a corner, buttoned Dong Nguyen 'Juan Qi Qiang Jilin medical information of a B2 after the separation of a visible perforation of old lesions, and necrosis of lymph node dissection difficult , a sand-like air mesenteric yellow nodules. Beside the mass block to take quiet lf1 biopsy, diagnosis ball t lymphatic disease, cancer, the more anti-tuberculosis treatment after discharge. Discussed mostly secondary tuberculosis of stomach and duodenum, and means for dipping. 1. Blood and lymph. 2. Directly onto the mucosa. 3. Dip extension of direct invasion. 4. Stomach cancer in the other add-j Park with tuberculosis Spanish fly contamination. General ferret stomach wall film of silver less tired, mostly serpiginous ulcer, muscle pulp was soaked for multi-Lan, Zhou intrinsic lymph nodes group, secluded f1 obstruction is ulcer granulation tissue inflammation, scar formation and retention of urine caused by soil their mark hard, strong adhesion, similar to intraoperative findings of gastric cancer, only to dip lower stomach and duodenum, duodenal cancer, generally do not dip and the pyloric part, and pylorus pyloric around mostly secondary to tuberculosis lymph node tuberculosis, ten duodenum is often involved, and a wide range. Tuberculosis of the stomach with a large line features t collapse TB, mucosal pattern interrupt, also was uneven surface, the individual can stomach was like leather goods, exactly like the cancer x ray findings. Lonely may be subject to the stomach serosa infiltration of extrapulmonary tuberculosis contracture and variants. At the same time the Ministry of duodenal involvement Yu variant, often differentiated and malignant space occupying and images belong to the same variant, cancer of the mucosa of the county has a unique disorder, interruption, lost half disease, worm-eaten-like defects, stomach stiff, creeping disappearance of malignant Identification of patients excluded from the commission in favor of duodenal sinus changed, was narrow and twisting like the serosal adhesions contracture tuberculosis, obstruction caused by gastric body expansion, 'the long-term weakness in the stomach, gastric dilatation, resulting in decreased peristaltic wave, mucosal shallow and disorder. Duodenum, stomach tuberculosis x ray can only provide the morphological changes. p77;. Stability of children caused by polycythemia vera cases ●-1r Wang, * Hitomi Liu Rongwu warm Jiutai City plant. '~ ■ feeding good at Nang Wang x ×, M, dO-year-old Department of pea brain active proliferation, bone density normal, Au Cephalotaxus 2 mg / l long-term interest rates neurasthenia Diego l6 years with stable, static points per night service treatment at two weeks, blood and bone marrow review 10 to 20 cents Wei restore stability can only go to sleep. for almost a year to send multiple normal, normal size of liver askance, two years after the review of non-repetition facial skin congestion, resembles a drunken appearance and consultation Medical hair. Home. checkup t blood pressure. 18/12Kpa, nutrient medium, the discussion is not much of polycythemia vera See, body skin congestion, especially in the face and hands clear eye for is not clear. At present, there is exposure to radiation, Results Cou congestion, stupid beam tip bruising limbs constricted lymph node j is not benzene poisoning, some swelling Cave or kidney disease, congenital of the heart, lungs clear breath sounds, heart slightly to the left to expand industry, heart disease and altitude sickness and other theories were caused by the stability, the rate of 72 beats / min,herve leger uk, the whole law, sound blunt, plain abdominal soft, sunset rib has not been reported at present, is generally believed that the stability of the bone under the 3.o cm, spleen ribs 5. jelly meters, beam tip inhibit blood marrow, in this case the exclusion of other factors in post-HB | 260g, L, RBC , 7.62 × 10t / L, that sent long-term use and stability of abnormal blood stimulation system, WBCt3.3 × o. / L. marrow blood smear reports of red glass induced hyperthyroidism.