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A Case of Acute Gastric Ulcer with Apparent Ulcer-scar Healing H. Kojo 1 , S. Fukumoto 1 1The Second Department of Internal medicine, Faculty of Medicine, Tottori University pp.1491-1493
Published Date 1979/11/25
DOI https://doi.org/10.11477/mf.1403107824
  • Abstract
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 We followed acute gastric ulcer endoscopically for two years and observed apparent ulcer-scar healing in 22 year-old female.

 We confirm that there were no recurrence of the ulcer and no evidence of passing into a chronic state during the study, and detailed endoscopic feature along with ulcer healing were reported.

 A case was 22 year-old female who complained of epigastric pain, nausea and vomiting without any apparent cause. Initial endoscopic examination disclosed edematous mucosa with nodular swelling and irregular erosions with marked adjacent hyperemic mucosa from angulus to amtrum. There were also a shallow ulcer with white exsudate at the angulus.

 Three Weeks later, a depressed lesion associated with marked converging folds, which center was at the lesser curvature of the angulus, was noted.

 There were also scattered ulcers with white exsudate around the above lesion. The previous erosions in the antrum were completely healed without leaving scars.

 Four months later, endoscopico bservation disclosed converging folds at the anterior and posterior wall of the angulus, and there were several hyperemic mucosal nodules at the tip of converging folds. No more white exsudate was seen and the depressed lesion became brownish color. Therefore, it was felt that the previous acute gastric ulcer end up with scar healing and left converging folds.

 Endoscopy was repeated one year and six months later as well as two years later but they merely showed converging folds and nodular mucosal change at the scar lesion, and no evidence of recurrent ulcer nor mucosal abnormalities in the antrum were noted.


Copyright © 1979, 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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