case-report-of-XXX(英文病例汇报)学习资料.ppt

Present illness: The patient felt sudden nausea and vomited the food he took in with no recognizable cause about six and a half months ago. He didn’t pay attention to it and thought he had ate something wrong. The Third Section of The Department of Gastroenterology 1* Present illness: About two weeks later, the nauseous and vomitory symptom appeared again and he felt sour regurgitation and heartburn at the same time.So he went to the first affiliated hospital of SuZhou University. The Third Section of The Department of Gastroenterology 1* Present illness: The endoscopic examination showed he had duodenal ulcers and reflux esophagitis.And the pathological report of the ulcers was chronic inflammation with proliferation of lymphocytes.Then the Rabeprazole which had show a curative effect was given to him. The Third Section of The Department of Gastroenterology 1* Present illness: But two months later after the treatment,the above-mentioned symptom appeared again and became more serious so he went to the first affiliated hospital of SuZhou University again for further threatment. The Third Section of The Department of Gastroenterology 1* Present illness: The abdominal CT,MRI and MRCP all showed the dilatation of the bile ducts（both the intra- hepatic and extrahepatic bile d-ucts）and the pancreatic ducts. Besides,the abdominal CT sho-wed the enlargement of pancre-as with the probability of pancr-eatic divisum.Then he was diag-nosed as pancreatitis and the symptomatic treatment was applied but the effect was not comfor-table. The Third Section of The Department of Gastroenterology 1* Present illness: So he went to the first affiliated hospital of Zheng Zhou University. The abdominal CT showed there were so-me enlarged lymph nodes in the abdominal cavity and the duodenal wall had became thickened.The pathological ex-amination report of the duodenal wall showed he was dia-gnosed T lymphoma. The Third Section of