casereportofXXX(英文病例汇报).pptVIP

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* 精选文档 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 The Department of Gastroenterology 1* 精选文档 Present illness: For accurate diagnosis,his family sent the pathological slide to three top hospitals of China in Beijing.Nether the pathology department of our hospital nor the Youyi hospital could exclude the diagnosis of the T lymphoma,but the pathology department of the hospital of the Beijing Univ-ersity had diagnosed that he was not a patient with T ly-mphoma. The Third Section of The Department of Gastroenterology 1* 精选文档 Present illness: One month ago he went to the emergency department of our hospital for treatment.The pathological examination of the duodenal wall showed th-ere was severe acute inflame-mation with the infiltration of many eosnophils. The intesti-nal feeding tube was applied but filled. The Third Section of The Department of Gastroenterology 1* 精选文档 Present illness: Eight days ago,the patient was accepted because of “reduplicated nausea and vomit for six and a half months〞.Since the disease coming on, the patient had losed 18kg weights. The Third Section of The Department of Gastroenterology 1* 精选文档 Past history: The patient is healthy before. No history of infective diseases. No all