Клиничен случай на дете с вродена антрална мрежа и клинична изява на гастро-езофагеална рефлуксна болест

Резюме

Вродената антрална мрежа е тънка мукозна мембрана, разположена на около 2 см препилорично, която стеснява антрума и възпрепятства нормалното изпразване на стомаха. Клинично протича с рецидивиращи епизоди на повръщане на нежлъчно съдържимо, затруднено хранене, гадене, ранно засищане, епигастрална болка. Симптомите са неспецифични и често пациентите с тази вродена аномалия се диагностицират за гастроезофагеална рефлуксна болест, хранителна алергия и други. Представяме клиничен случай на 13-месечно момиче с антрална мeмбрана, лекуванo половин година за гастроезофагеална рефлуксна болест. След започване на захранване с твърди храни повръщането се влошило, появила се хематемеза с мелена, невиреене. Проведено е хирургично лечение с добър резултат.

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