Peptic ulcer perforation, Hematoma, Submucosal tumor"/> A Large Hematoma Due to Benign Ulcer Perforation of the Gastric Fundus Resembling Submucosal Tumor
Korean J Gastrointest Endosc > Volume 41(3); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(3): 159-162.
점막하종양으로 오인된 위 저부 양성궤양 천공으로 인한 거대혈종 1예
김남용ㆍ오정환ㆍ최수진ㆍ김승경ㆍ송윤미ㆍ지병수ㆍ오승현ㆍ최상욱
가톨릭대학교 의과대학 내과학교실
A Large Hematoma Due to Benign Ulcer Perforation of the Gastric Fundus Resembling Submucosal Tumor
Nam Yong Kim, M.D., Jung Hwan Oh, M.D., Soo Jin Choi, M.D., Seung Kyoung Kim, M.D., Youn Mi Song, M.D., Byung Soo Jie, M.D., Seung Hyun Oh, M.D. and Sang Wook Choi, M.D.
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
Abstract
The gastric fundus is a rare site for benign ulcer and perforation to occur. A 47 year-old male presented to the emergency department with epigastric pain. An endoscopic examination revealed a submucosal tumor-like lesion with friable, superficial ulceration in the high body of the stomach. We performed surgical resection to rule out malignancy because of the lesion's large size and we found chronic gastric ulcer perforation, which was pathologically diagnosed. We presumed that the formation of the large hematoma, which mimicked a submucosal tumor, was a result of repeated bleeding, perforation and healing. We report here on a case of a large hematoma due to a benign gastric ulcer perforation in the fundus, and this all mimicked a submucosal tumor. (Korean J Gastrointest Endosc 2010;41:159-162)
Key Words: Peptic ulcer perforation, Hematoma, Submucosal tumor
주요어: 소화성궤양 천공, 혈종, 점막하종양
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