A Case of Penetrating Gastric Ulcer Mimicking Hypervascular Tumor.
- Author:
Jin Kwang AN
1
;
Jae Hyeon MOON
;
Ji Hong KIM
;
Tae Geon MOON
;
Hyung Jun CHU
;
Chang Hun LEE
;
Dae Hwan KANG
;
Geun Am SONG
;
Mong CHO
;
Ung Suk YANG
Author Information
1. Department of Internal Medicine, Pusan National University, College of Medicine, Busan, Korea. prepulsi@hanmail.net
- Publication Type:Case Report
- MeSH:
Angiography;
Arteries;
Biopsy;
Hematemesis;
Hemorrhage;
Humans;
Laparotomy;
Male;
Omentum;
Pancreas;
Peptic Ulcer;
Peritoneal Cavity;
Serous Membrane;
Spleen;
Splenic Artery;
Stomach;
Stomach Ulcer*;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
2001;23(6):474-478
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Peptic ulcer which extend beyond the serosa of the bowel wall may not perforate freely into the peritoneal cavity but instead penetrate adjacent structures (confined perforation). It has been reported that the frequency of penetration of peptic ulcer has been estimated around 20 percent in patients undergoing laparotomy for peptic ulcers. A 46-year- old male was admitted with chief complaint of hematemesis. Endoscopic examination revealed submucosal tumor like lesion with central ulcer and active bleeding which was located at the upper body, posterior wall of the stomach. Angiography demonstrated hypervascular tumor like lesion supplied by left gastric artery and short gastric branches of splenic artery. Postoperative biopsies showed inflammatory cell infiltration at the typical ulcer base and no evidence of malignancy. There was loss of acinus structure and fibrous adhesion with omentum at the pancreas. We report a case of gastric ulcer penetrating into pancreas, spleen with hypervascular nature with brief review of literatures.
