Chronic Ischemic Gastritis in a Patient With a History of Cancer and Atherosclerotic Disease.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY ACG Case Reports Journal Pub Date : 2024-10-24 eCollection Date: 2024-10-01 DOI:10.14309/crj.0000000000001542
Ignazio Marzio Parisi, Claudia Vattiato, Vitantonio Caramia, Federico Sottotetti, Antonio Ciarfella, Katerina Vjero
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Abstract

Chronic mesenteric ischemia is an uncommon disease presenting with nonspecific symptoms. The large number of differential diagnoses may result in diagnostic delays and progression to acute mesenteric ischemia. A 74-year-old woman with a history of breast cancer and carotid atherosclerosis complained of postprandial abdominal pain, vomiting, and weight loss. Endoscopic examination showed active chronic gastritis Helicobacter pylori negative. Contrast-enhanced computed tomography revealed stenosis in the mesenteric arterial district. Chronic gastritis resistant to treatment in a patient complaining of postprandial abdominal pain and weight loss should be investigated for chronic mesenteric ischemia, although history of cancer could be a misleading factor.

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有癌症和动脉粥样硬化病史的患者患上慢性缺血性胃炎
慢性肠系膜缺血是一种不常见的疾病,表现为非特异性症状。大量的鉴别诊断可能导致诊断延误并发展为急性肠系膜缺血。一名 74 岁的女性患者曾患乳腺癌和颈动脉粥样硬化,主诉餐后腹痛、呕吐和体重减轻。内镜检查显示活动性慢性胃炎幽门螺旋杆菌阴性。对比增强计算机断层扫描显示肠系膜动脉区狭窄。对于主诉餐后腹痛和体重减轻的慢性胃炎患者,应检查是否患有慢性肠系膜缺血,尽管癌症病史可能是一个误导因素。
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来源期刊
ACG Case Reports Journal
ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-
自引率
14.30%
发文量
170
审稿时长
12 weeks
期刊介绍: ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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