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| Exophytic inflammatory myofibroblastic tumor of the stomach in an adult woman： A rare cause of hemoperitoneum | |
| 作者姓名： | Park SH Kim JH Min BW Song TJ Son GS Kim SJ Lee SW Chung HH Lee JH Um JW |
| 作者单位： | Department of Surgery Korea University College of Medicine 126-1 5-Ga Anam-Dong Sungbuk-Gu Seoul 136-705 Korea,Department of Surgery Korea University College of Medicine 126-1 5-Ga Anam-Dong Sungbuk-Gu Seoul 136-705 Korea,Department of Surgery Korea University College of Medicine 126-1 5-Ga Anam-Dong Sungbuk-Gu Seoul 136-705 Korea,Department of Surgery Korea University College of Medicine 126-1 5-Ga Anam-Dong Sungbuk-Gu Seoul 136-705 Korea,Department of Surgery Korea University College of Medicine 126-1 5-Ga Anam-Dong Sungbuk-Gu Seoul 136-705 Korea,Department of Surgery Korea University College of Medicine 126-1 5-Ga Anam-Dong Sungbuk-Gu Seoul 136-705 Korea,Department of Internal Medicine Korea University College of Medicine 126-1 5-Ga Anam-Dong Sungbuk-Gu Seoul 136-705 Korea,Department of Radiology Korea University College of Medicine 126-1 5-Ga Anam-Dong Sungbuk-Gu Seoul 136-705 Korea,Department of Pathology Korea University College of Medicine 126-1 5-Ga Anam-Dong Sungbuk-Gu Seoul 136-705 Korea,Department of Surgery Korea University College of Medicine 126-1 5-Ga Anam-Dong Sungbuk-Gu Seoul 136-705 Korea |
| 摘 要： | Inflammatory myofibroblastic tumor （INT） of the stomach in adults is extremely rare, with unpredictable prognosis. We present a 55-year-old woman with a gastric IMT. She experienced sudden abdominal pain 4 d previously. Physical examination showed mild abdominal tenderness in the hypogastrium, but no palpable abnormal abdominal mass. Abdominal CT showed a mass of approximately 8 cm in the gastrocolic ligament. On laparoscopic exploration, unexpected hemoperitoneum of approximately 1.5 L of blood was found, and an exophytic gastric mass of approximately 10 cm, appeared from the anterior wall of the gastric body along the greater curvature. Laparoscopy further showed that non- clotting blood in the abdominal cavity seemed to be from the gastric tumor. After conversion to open surgery for more precise evaluation of the cause of hemoperitoneum and the large friable tumor, gastric wedge resection, including the tumor, was conducted. The final diagnosis was consistent with IMT that originated from the gastric wall. |
| 关 键 词： | 胃病 胃肿瘤 肌纤维瘤 腹腔积血 胃外科学 |
| 收稿时间： | 2007 Aug 24 |
Exophytic inflammatory myofibroblastic tumor of the stomach in an adult woman: a rare cause of hemoperitoneum |
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| Park SH,Kim JH,Min BW,Song TJ,Son GS,Kim SJ,Lee SW,Chung HH,Lee JH,Um JW.Exophytic inflammatory myofibroblastic tumor of the stomach in an adult woman: a rare cause of hemoperitoneum[J].World Journal of Gastroenterology,2008,14(1):136-139. | |
| Authors: | Park Seong-Heum Kim Jong-Han Min Byung Wook Song Tae Jin Son Gil Soo Kim Seung Joo Lee Sang Woo Chung Hwan-Hoon Lee Ju Han Um Jun Won |
| Institution: | 1. Department of Surgery,Korea University College of Medicine,126-1,5-Ga Anam-Dong,Sungbuk-Gu,Seoul 136-705,Korea 2. Department of Internal Medicine,Korea University College of Medicine,126-1,5-Ga Anam-Dong,Sungbuk-Gu,Seoul 136-705,Korea 3. Department of Radiology,Korea University College of Medicine,126-1,5-Ga Anam-Dong,Sungbuk-Gu,Seoul 136-705,Korea 4. Department of Pathology,Korea University College of Medicine,126-1,5-Ga Anam-Dong,Sungbuk-Gu,Seoul 136-705,Korea |
| Abstract: | Inflammatory myofibroblastic tumor (IMT) of the stomach in adults is extremely rare, with unpredictable prognosis. We present a 55-year-old woman with a gastric IMT. She experienced sudden abdominal pain 4 d previously. Physical examination showed mild abdominal tenderness in the hypogastrium, but no palpable abnormal abdominal mass. Abdominal CT showed a mass of approximately 8 cm in the gastrocolic ligament. On laparoscopic exploration, unexpected hemoperitoneum of approximately 1.5 L of blood was found, and an exophytic gastric mass of approximately 10 cm, appeared from the anterior wall of the gastric body along the greater curvature. Laparoscopy further showed that non- clotting blood in the abdominal cavity seemed to be from the gastric tumor. After conversion to open surgery for more precise evaluation of the cause of hemoperitoneum and the large friable tumor, gastric wedge resection, including the tumor, was conducted. The final diagnosis was consistent with IMT that originated from the gastric wall. |
| Keywords: | Stomach disease Stomach neoplasms Hemoperitoneum Myofibroma Granuloma Plasma cell Stomach surgery |
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