Giant Gastric Ulcer Penetrating into the Spleen, Report of a Case Wasaburo Koizumi 1 , Katsunori Saigenji 1 , Haruya Okabe 2 1Department of Internal Medicine, Kitasato University School of Medicine Keyword: 穿通性胃潰瘍 pp.1429-1433
Published Date 1991/12/25
DOI https://doi.org/10.11477/mf.1403102726
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 A 52-year-old man complaining of left upper abdominal pain for 6 months was admitted to Kitasato East Hospital. He had been treated with H2 receptor antagonist under the diagnosis of gastric ulcer, without the tendency to heal. Endoscopic examination revealed a giant ulcer with the markedly swollen folds. X-ray examination revealed a large and very deep ulcer surrounded by the marked elevated mucosa. These findings were not specific enough to make a differential diagnosis, especially from non-epithelial tumor such as sarcoma. Resected specimen exhibited a gaint gastric ulcer penetrating deep into the spleen. The surrounding gastric wall was thick with marked fibrosis and edema and in addition compressed by the spleen. There was no malignant tissue histologically.

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