An Operated Case of Gastric Cancer Combined with Splenic Artery Aneurysm and Nonfunctioning Adrenal Tumor

• Takami Hiroshi

  First Department of Surgery, Teikyo University School of Medicine

• Hanatani Yuji

  First Department of Surgery, Teikyo University School of Medicine

• Horie Fumitoshi

  First Department of Surgery, Teikyo University School of Medicine

• Nemoto Akihisa

  First Department of Surgery, Teikyo University School of Medicine

• Kidooka Ken-ichi

  First Department of Surgery, Teikyo University School of Medicine

• Asagoe Tatsuo

  First Department of Surgery, Teikyo University School of Medicine

• Shikata Jun-ichi

  First Department of Surgery, Teikyo University School of Medicine

Bibliographic Information

Other Title

• 脾動脈瘤と非機能性副腎皮質腫瘍が併存した胃癌の1手術例

Abstract

A patient who underwent a combined operation for splenic aneurysm, nonfunctioning adrenocortical adenoma, and gastric cancer is reported. A 74-year-old woman was diagnosed having early gastric cancer. A selective celiac angiogram and a computed tomogram showed a calcified splenic aneurysm at the splenic hilus and a left adrenal mass (incidentaloma). On March 17, 1986, the patient underwent total gastrectomy, aneurysmatectomy, splenectomy and adrenalectomy. The spleen was 10 mm in diameter and atherosclerotic. The adrenal mass was 16 mm in diameter and was diagnosed as nonfunctioning adrenocortical adenoma. At present she shows no sign of recurrence. It is generally said that splenic aneurysm with calcification and 10 mm in diameter has low frequency of rupture and nonfunctioning adenoma of 16 mm in diameter has a low possibility of malignancy. However, this patient underwent aneurysmatectomy and adrenalectomy at the operation for gastric cancer because a reoperation would have been somewhat difficult.

Journal

• The Japanese journal of gastroenterological surgery

  The Japanese journal of gastroenterological surgery 23 2629-2633, 1990

  The Japanese Society of Gastroenterological Surgery

Keywords

• splenic aneurysm
• nonfunctioning adrenal tumor
• incidentaloma

Details

• CRID: 1570854176942619520
• NII Article ID: 110001312236
• NII Book ID: AN00192066
• ISSN: 03869768
• Web Site: https://search.jamas.or.jp/link/ui/1991214303
• Text Lang: ja
• Data Source:
  • CiNii Articles