| 악성 점막하종양을 의심하였던 위 봉합육아종 1예 |
| 문인규ㆍ김태효ㆍ정경아ㆍ이재민ㆍ조현진ㆍ심기식ㆍ민현주ㆍ김현진ㆍ정운태ㆍ이옥재 |
| 경상대학교 의학전문대학원 내과학교실, 건강과학원 |
| A Case of Gastric Suture Granuloma Suspected of Malignant Submucosal Tumor |
| In Kyu Moon, M.D., Tae Hyo Kim, M.D., Kyoung Ah Jung, M.D., Jae Min Lee, M.D., Hyun Chin Cho, M.D., Ki Shik Shim, M.D., Hyun Ju Min, M.D., Hyun Jin Kim, M.D., Woon Tae Jung, M.D. and Ok Jae Lee, M.D. |
| Department of Internal Medicine and Institute of Health Science, Gyeongsang National University School of Medicine |
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| Abstract |
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A gastric suture granuloma is an uncommon postsurgical complication. When nonabsorbable sutures are used, the inflammation can persist months after the original procedure with the subsequent formation of an abscess around the sutures surrounded by granulation tissue. Suture granulomas are usually asymptomatic, and have clinical importance as a differential diagnosis of a gastric submucosal tumor. The incidence of suture granuloma is low using absorbable sutures in gastrointestinal anastomosis. We report a case of a 70 year old man diagnosed with a suture granuloma. Approximately 30 years earlier, he underwent primary closure due to gastric ulcer perforation. When a gastroscopy was performed to assess upper abdominal soreness, it revealed a submucosal tumor that indicated a malignancy, which was diagnosed as a suture granuloma after surgery. (Korean J Gastrointest Endosc 2007;35:395-398) |
| Key Words:
Suture granuloma, Submucosal tumor |
| 주요어:
봉합육아종, 점막하종양 |
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