胃重複症の1例

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  • A CASE OF DUPLICATION OF THE STOMACH

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An asymptomatic 37-year-old man underwent gastroscopy for health screening, which revealed a protruded lesion at the upper part of the corpus on the lesser curvature of the stomach. He was referred to our hospital for close inspection. Computed tomography and endoscopic ultrasonography showed an extragastric and well-defined cystic lesion. We performed an operation with a presumed diagnosis of submucosal tumor of the stomach. At laparotomy a large mass on the anterior wall of cardia and a small mass on the anterior wall of the middle part of the corpus were found in the subserosal space, and both of them could be easily enucleated. Because histologic examination of the resected material revealed that they are composed of mucosal layer, proper muscle, subserosal layer, and the serosa, a diagnosis of duplication of the stomach was made. Gastric duplication cyst is a kind of gastrointestinal tract duplications, which are congenital anomalies and have been found in various organs from tongue to large intestine. Even though the duplication of the stomach is rare, we must keep this disease in mind on differential diagnosis of the submucosal tumor of the stomach, because its frequency will increase with recent advances in imaging modalities.

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