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先天性胸腔胃、短食道极为罕见,作者在教学时偶然发现此例,报告如下.男尸,发育正常,身高176cm,年龄约56岁,解剖胸腹腔时,可见胃的上1/2部位于胸腔内,心包及左膈胸膜下方,致使心肺位置上移.食管裂孔变大,为5.5cm,食管缩短长16.2cm,下端明显增粗外径为5.5cm.胃呈哑铃型,胃贲门部、胃底及部分胃体位于隔上方.左、右隔角松驰,食管裂孔增大,与食管裂孔边缘相对应的胃壁呈环型增厚,超常1cm,以胃大弯侧显著.胃壁与食管裂孔紧密相连,胃腔内径为4.3cm,粘膜皱襞纵行分布.先天性胸腔胃、短食道为胚胎发育过程中,由于食管发育不良而不能迅速增长,致使食管较短,并牵拉胃上移,使胃固定在胸腔内.食管可止于膈上不同部位,胃可以充分或全部在胸腔内.应与食管裂孔疝鉴别,主要是食道短,膈以下无食道,而食管裂孔疝对食管长度不变.此例生存50
Congenital thoracic stomach, short esophagus is extremely rare, the authors accidentally found this case in teaching, the report is as follows. Male corpse, normal development, height 176cm, about 56 years of age, the anatomy of the abdominal cavity, the upper half of the stomach can be seen in Chest cavity, pericardium and left diaphragm below the pleura, resulting in the position of the heart and lung up.Ethylphoid hiatus large, 5.5cm, esophageal shortening of 16.2cm, the lower end of the apparent thickening of the outer diameter of 5.5cm.The stomach was dumbbell type, stomach cardia, Gastric fundus and part of the gastric body located above the septum.Letter right angle relaxation, esophageal hiatus increased, and the edge of the esophageal hippocampus was ring-shaped thickened ring, abnormal 1cm, significant curvature of the stomach side. Holes closely connected, the gastric cavity diameter of 4.3cm, mucosal folds longitudinal distribution.Congenital pleural stomach, short esophagus is the embryonic development process, due to poor esophageal growth and can not be rapidly increased, resulting in shorter esophagus, and pull the stomach up , The stomach fixed in the chest cavity esophagus can stop at different parts of the diaphragm, the stomach can be full or full in the chest cavity should be identified with esophageal hiatus, esophageal short esophageal main, esophageal hiatus esophageal length This example survives 50