十二指腸球部に脱出し同部の潰瘍形成をきたした胃脂肪腫の1例  [in Japanese] A case of lipoma of the stomach prolapsing into the duodenal bulb and causing a duodenal ulcer  [in Japanese]

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Abstract

十二指腸球部に脱出し,腫瘤の先進部の擦過によると考えられる球部潰瘍形成がみられた胃脂肪腫症例を経験した.同潰瘍はproton pump inhibitor投与後瘢痕化したが,腫瘤の脱出による心窩部不快感が持続したため,鏡視下での腫瘤摘出術が施行された.胃の脂肪腫が十二指腸に脱出することはまれであり,さらに擦過により十二指腸潰瘍が発生することは極めてまれである.興味深い症例と考えられたため報告する.<br>

We report a case of lipoma in the antrum of the stomach which prolapsed into the duodenal bulb and caused a duodenal ulcer, which was speculated to have been induced by the friction of its tip against the duodenal mucosa. Although the duodenal ulcer healed after the administration of a proton pump inhibitor, the symptoms of epigastric discomfort continued, which was suggested to be due to the prolapse. Therefore, a laparoscopic operation was conducted. The incidence of lipoma of the stomach is rare, and cases of its prolapse into the duodenum are few. Furthermore, it is extremely rare for it to cause a duodenal ulcer. Because these features made this case clinically interesting, we report it here.<br>

Journal

  • Nippon Shokakibyo Gakkai Zasshi

    Nippon Shokakibyo Gakkai Zasshi 106(11), 1643-1649, 2009-11-05

    The Japanese Society of Gastroenterology

References:  15

Cited by:  3

Codes

  • NII Article ID (NAID)
    10026134253
  • NII NACSIS-CAT ID (NCID)
    AN00192124
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    04466586
  • Data Source
    CJP  CJPref  J-STAGE 
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