Solitary Heterotopic Gastric Gland with Rare Gross Configuration, Report of a Case Takehisa Tadokoro 1 , Satoru Tamura 2 , Yuichi Yokoyama 1 , Kohji Ohkawauchi 2 , Yoshifumi Higashidani 1 1Department of Gastroenterology and Hepatology, Kochi Medical School 2Department of Endoscopy, Kochi Medical School Keyword: 胃粘膜下異所腺 pp.821-825
Published Date 2004/4/25
DOI https://doi.org/10.11477/mf.1403100465
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 A41-year-old woman visited our hospital for further examination because she had been found to have an abnormality in her stomach during a medical check up. An upper gastrointestinal X-ray series demonstrated a round elevated lesion with bridging fold in the greater curvature of the upper gastric body. Endoscopic examination revealed a submucosal tumor-like lesion with smooth surface and Delle. Endoscopic ultrasonography demonstrated an anechoic region with septum and a hyperechoic part in the region located in the third layer of the gastric wall. In the biopsy, although it was diagnosed with normal stomach membrane, the possibility of neoplastic change in the deeper layer could not be denied, so partial gastrectomy was performed using laparoscopy. Histologically, its diagnosis was a submucosal heterotopia of the gastric gland, because hyperplastic glands with fundic glands were revealed in the submucosal layer.

 1) Department of Gastroenterology and Hepatology, Kochi Medical School, Nankoku, Japan

 2) Department of Endoscopy, Kochi Medical School, Nankoku, Japan

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