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Peculiar Mucosal Bridge Formed in the Stomach, Report of a Case H. Nishimori 1 , S. Saito 1 , H. Kuratsune 1 , Y. Kinoshita 2 , M. Matsuo 3 , T. Miura 4 , I. Sekine 5 , I. Nishimori 5 1Department of Internal Medicine, Isahaya Hospital 2Department of Radiology, Isahaya Hospital 3Department of Surgery, Isahaya Hospital 4Department of 1st Surgery, Nagasaki University, School of Medicine 5Department of Pathology, Atomic Disease Institute, Nagasaki University pp.283-287
Published Date 1980/3/25
DOI https://doi.org/10.11477/mf.1403106767
  • Abstract
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 The patient was a 40 year-old man. Since the end of 1975, he had malaise in the upper abdominal region and, in July 1976, he complained of the sensation of distended abdomen and vomiting after meals, and his body weight was reduced.

 The fluoroscopic examination of the stomach revealed deformity of body in barium-filled picture in the upright position, and broad folds and many concavities of various sizes in double contrast picture. The endoscopic examination also revealed diverticular concavities of various sizes on the mucous membrane of the body.

 The resected stomach showed a large mucosal bridge connecting the anterior and posterior walls in the upper part of the antrum, punched-out-like concavities in the lower part of body, and communication between adjacent concavities in the base. In the middle portion of gastric body, the folds were mutually fused, appearing like the cerebral gyri.

 Histologically, the bridge and the fused folds were covered with mucous membrane. The submucous tissue showed fibrosis of various degrees. The lamina muscularis mucosae partly disappeared and fragmented or thickened and laminated. In some localities, the upper portion of the lamina muscularis propriae was fragmented and the muscular tissue was enfolded in the fibrotic tissue. In the tunnel in the portion of fused foldings, multiple small ulcers of to IV were observed. The cause was considered to be traumatic since the patient seemed to have accidentally swallowed glass recently.


Copyright © 1980, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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