吐血を主訴に発見され，胃粘膜下腫よう類似所見を呈した仮性すい嚢胞の１例

• 藤井 雅和

  小野田市立病院外科

• 沖野 基規

  小野田市立病院外科

• 藤岡 顕太郎

  小野田市立病院外科

• 山下 勝之

  小野田市立病院外科

• 濱野 公一

  山口大学第1外科

書誌事項

タイトル別名

• A CASE OF A PSEUDOPANCREATIC CYST PRESENTED WITH HEMATEMESIS MIMICKING A GASTRIC SUBMUCOSAL TUMOR

抄録

A 50-year-old man, a heavy drinker, admitted to the hospital because of hematemesis and tarry stool and diagnosed as having bleeding from a gastric ulcer, was returned to hemostasis during gastrointestinal endoscopy. He vomited blood again 24 days after the first episode. Gastrointestinal endoscopy showed a submucosal gastric tumor with an ulcer scar. Surgery was conducted to prevent further bleeding and to make the definitive diagnosis. During surgery, the submucosal gastric tumor was judged to be benign under gastrointestinal endoscopy and proximal gastrectomy was conducted. In separation of the tumor from behind the stomach, dark reddish muddy serous fluid was discharged from the broken tumor capsule. The postoperative course was uneventful, and he was discharged from the hospital 30 days after the surgery. No recurrence has been seen as of 18 months after the surgery. The pseudopancreatic cyst was diagnosed because the gastric serosa remained intact and the tumor was proved to arise from the outside of the stomach. Pseudopancreatic cyst presenting with hematemesis which showed similar findings to those of a gastric submucosal tumor is reported.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 66 (10), 2553-2557, 2005

  日本臨床外科学会

キーワード

• pseudopancreatic cyst
• hematemesis
• gastric submucosal tumor

詳細情報

• CRID: 1390001204847417984
• NII論文ID: 10018961227
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.66.2553
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/66/10/66_10_2553/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005286933
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可