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Stomach and Intestine(Tokyo) Volume 12, Issue 5 （May 1977）

胃と腸 12巻5号（1977年5月発行）

Japanese English

症例

副胃（Duplication of the Stomach） Duplication of the Stomach: A case report 岡村健 ¹ , 渡辺英伸 ¹ , 池尻泰二 ² , 増田正孝 ² , 野田尚一 ² , 皆川博美 ² , 古賀安彦 ³ , 馬屋原晟 ⁴ T. Okamura ¹ , H. Watanabe ¹ , T. Ikejiri ² , M. Masuda ² , S. Noda ² , H. Minagawa ² , Y. Koga ³ , A. Umayahara ⁴ ¹九州大学医学部病理学教室第2講座 ²国立福岡中央病院外科 ³国立福岡中央病院内科 ⁴国立福岡中央病院放射線科 ¹2nd Dept. of Pathology, Faculty of Medicine, Kyushu University ²Department of Surgery, National Fukuoka Central Hospital ³Dept. of Internal Medicine, National Fukuoka Central Hospital ⁴Dept. of Radiology, National Fukuoka Central Hospital pp.641-646

発行日 1977年5月25日 Published Date 1977/5/25

DOI https://doi.org/10.11477/mf.1403112635

PDF(3962KB)

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Abstract 文献概要
1ページ目 Look Inside

　胃の囊腫はまれな疾患であるが，中でも副胃あるいは重複胃と称される病変で生じた囊腫の報告例は数少ない．最近われわれは，胃のX線および内視鏡検査で術前に胃囊腫と診断され，術後の組織学的検索で副胃であることが分かった1例を経験したので，若干の考察を加えて報告する．

　A case of duplication of the stomach in a 24-year-old man is reported. He had presented with a symptom of gastric outlet obstruction twice in the past. When he was admitted, he was healthy and had no symptoms and signs except heartburn and belching.

　On laboratory examination, serum levels of gastrin were high (310 Pg/ml). Other routine studies of the blood were within normal limits. Gastric analysis revealed hyperacidity and hypersecretion. Roentgenographic and endoscopic examinations of the stomach demonstrated a submucosal cyst on the greater curvature of the antrum. A partial gastrectomy was performed, followed by a Billroth-II anastomosis.

　The resected stomach showed a submucosal cyst measuring 4.5×3.0×3.5 cm. Histologically, the cyst consisted of the normal pyloric mucosa, submucosa and hypertrophic smooth muscle coat, which was contiguous with that of the stomach. In addition, a heterotopic pancreatic tissue was found at the pylorus.

　There were only four reported cases of gastric duplication in Japan, but about 70 cases has so far appeared in the literature abroad written in English. The pathogenesis, clinical features and treatment are briefly reviewed.