症状:
右上腹有压迫感、异物感,伴随灼热感,好像里面长了什么东西,坐下来感觉十分明
显,坐久了会以灼热感为主.站起来则较没感觉,平躺着会有感觉,往左侧躺,会有异物
感,往右侧躺则消失,平常都往右侧躺睡觉.
平时以压迫感、异物感为主,发作时,会有灼热感和疼痛,通常在吃完东西或熬夜(有时
工作到早上8点睡)症状持续24小时,约4年以上.
先前经医师诊断原本认定为胆结石造成,超音波确诊胆结石,开完刀后症状却没有改善.
在手术之前,去年10/4日验血曾经有肝指数AST升上914 ALT 605的
情形,目前手术完毕.
今年进一步检查,做了ct和大肠钡剂x光摄影,也照了胃镜,检查出两个病,胃黏膜下
肿瘤(大约两颗,一公分左右)以及大肠憩室炎,医生排除胃黏膜下肿瘤为造成右上腹的
原因,认为可能是大肠憩室炎造成.
他认为大肠憩室炎不到要开刀的程度,只能吃药控制.x光片上他说有多个憩室,但看不
清楚共有几个,也不知道是不是集中在右上腹,只说在升结肠、横结肠、降结肠处都有.
我想问的是,
1. 大肠憩室炎会造成持续4年,几乎整天坐着都有的压迫感吗?
2. 胃黏膜下肿瘤如果是恶性,会是右上腹的症状吗?
3. 如怀疑是肝的问题,去照肝纤维扫描是否能看的出来?
4. 要不要做大肠镜,看清楚右上腹的位置,是不是憩室炎确诊.
感谢!这个病真的困扰我很久...更惨的是当初以为开了胆结石的刀就会好,结果还是
存在.
附上病历表和x光片:
胃黏膜下肿瘤部分
Esophagus: There was no ulcer nor varix in the esophagus.
Stomach: A polyp about 0.2 cm was found at fundus.Biopsy was done. A big
submucosal tumor was found beside it.
Duodenum:No bulb deformity nor ulcer was found.A big submucosal tumor was
found in the 2nd portion,too.
Diagnosis:Gastric polyp,fundus,s/p biopsy.
Gastric submucosal tumor,fundus.
Duodenal subvmucosal tumor,2nd portion.
大肠憩室炎部分
smooth passage of contrast medium through the rectum and colon to terminal
ileum.
normal presacral space.
normal caliber and contour of the colon without focal luminal narrowing.
Multipe small outpouchings at ascending,transverse,and descending colon.
normal contour of the colon mucosa in post-evacuation film.
x光片:
https://imgur.com/wBt3nG8
https://imgur.com/e0yBoxJ
https://imgur.com/vhRDOUO
https://imgur.com/NqhkJ0U
https://imgur.com/4RhqYrX
https://imgur.com/3jCNfto
https://imgur.com/0cQU8Ad
https://imgur.com/vCR7qJv
https://imgur.com/WBGcfG5
https://imgur.com/tF6yctQ
https://imgur.com/ODgkyDn
https://imgur.com/RSTBsXE
https://imgur.com/LTxGxcT
https://imgur.com/EpjsnIs
https://imgur.com/Bs4OueN