脱出した胃前庭部に早期癌を認めたMorgagni孔ヘルニアの1例

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  • A CASE OF EARLY CANCER FOUND IN GASTRIC ANTRUM HERNIATED THROUGH THE MORGAGNI FORAMEN

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We encountered a case of early gastric cancer complicated with Morgagni foramen hernia. The patient was a 71-year-old woman, who presented with complaints of epigastric pain, nausea, and vomiting. ECG was normal and endoscopic study revealed a deformed portion of the stomach with redness and mucosal swelling. The biopsied specimen revealed carcinoma. The patient was admitted on urgent basis because of vomiting. The chest X-ray at the time of admission showed an abnormal shadow with an air fluid level in the right lower lung field and a mass at the right cardio-phrenic angle. A final diagnosis of early gastric cancer complicated with Morgagni foramen hernia was made after CT, echo and gastrografin studies. Since the clinical condition of the patient was stable, an elective operation was performed. Recently, in cases like this gastroscopic study is often performed first, depending upon the symptoms of the patient, however it is recommended to suspect malignancy or the presence of hernia when gastric antral stenosis or deformity is observed.

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