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Duplication of the Stomach: Report of a case in an adult K. Shimada 1 1Department of Surgery, Prefectural Cancer Center Niigata Hospital pp.1135-1140
Published Date 1976/9/25
DOI https://doi.org/10.11477/mf.1403107422
  • Abstract
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 Duplications of the alimentary tract have been reported in about 150 cases in our country, while duplication of the stomach was found in only 7 cases in the Japanese literature (Ikeda, 1970).

 Report of a case

 A 47-year-old female visited our hospital because of recurrent epigastric pain. An upper G-Ⅰ series revealed an abnormal stream of barium starting from the third portion of the duodenum and running along the greater curvature of the stomach up to the level of the fundus.

 At operation on August 8, 1974, she was noted to have a large duplication of the stomach along the greater curvature from the antrum to the fundus with an orifice at its distal end measuring 2.0 cm in diameter and communicating with the horizontal part of the duodenum. The duplicated portion of the stomach was resected without sacrificing the original portion.

 The specimen measured 33 cm in length and 18 cm in the greatest diameter, and its inner surface was lined by gastric mucosa with multiple ulcers in the distal portion.

 Histologic examination showed multiple ulcers (Ul Ⅱ-Ⅳ) and a focal area with heterotopic submucosal glands. The patient's postoperative course was un-eventful.

 The pathology, clinical aspects and treatment of the duplicated stomach in the literature including the reports of 15 Japanese cases are discussed.


Copyright © 1976, 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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