摘要:

A 45-year-old Japanese man was admitted for polypectomy (gastric leiomyoma). After the polypectomy, a 1-cm perforation was noted in his gastric fundus. We used five metallic clips to close the perforation. The patient made an uneventful recovery over 7 days. Clipping is a useful method for the endoscopic closure of gastrointestinal perforations.

ISSN:0253-4886    

DOI:10.1159/000172333

出版商:S. Karger AG    

年代:1995

数据来源: Karger

摘要:

We report on a patient with a gastric leiomyosarcoma that had a giant cystic component and very high levels of ferritin in serum and cystic content. A 38-year-old man presented with an upper abdominal mass. Upper gastrointestinal series and gastroscopy revealed a submucosal tumor showing central retraction in the upper part of the stomach. Abdominal computed tomography as well as ultrasonography showed the tumor as a huge cyst with multiple septa. Selective arteriography demonstrated a tumor of the stomach. Histological examination suggested a highly malignant leiomyosarcoma, extending beyond the stomach, the serum ferritin level was very high: 307.8 ng/ml in serum and 22,800 ng/ml in the cystic content. This has, to our knowledge, not been reported before.

ISSN:0253-4886    

DOI:10.1159/000172334

出版商:S. Karger AG    

年代:1995

数据来源: Karger

摘要:

A 57-year-old man presented with gastrointestinal bleeding from duodenal invasion by hepatocellular carcinoma. He underwent an extended right hepatic lobectomy with resection of the lateral duodenum. The duodenum was reconstructed using a pedicled gastric flap. The patient is doing well 22 months after the operation without recurrence.

ISSN:0253-4886    

DOI:10.1159/000172335

出版商:S. Karger AG    

年代:1995

数据来源: Karger

摘要:

A 39-year-old man developed obstructive jaundice caused by solitary plexiform neurofibroma of the common hepatic duct. Bile duct neurofibroma of the solitary type is a very rare tumor, of which only 3 cases have been described in the literature. The bile duct neurofibroma was successfully treated by resection of the gallbladder, common hepatic and common bile ducts, followed by bi-hepatico-jejunal anastomosis.

ISSN:0253-4886    

DOI:10.1159/000172336

出版商:S. Karger AG    

年代:1995

数据来源: Karger

摘要:

We present a patient with acute phlegmonous gastritis after a gastric operation. The patient underwent subtotal gastrectomy and lymph node dissection following the diagnosis of early gastric cancer. The postoperative clinical course was good, but on the 14th postoperative day, he had a sudden onset of upper abdominal pain and abdominal muscle guarding. At the same time he had high fever and complete anorexia. Laboratory studies showed marked leukocytosis (28,000/mm3) with a shift to the left, and computed tomography showed marked thickness of the anterior wall of the remnant stomach. Furthermore, a discharge of approximately 500 ml of a yellowish turbid fluid through a nasogastric tube was observed. Because the patient had no evidence of anastomotic leakage or intra-abdominal abscess, the diagnosis was very difficult. But eventually, he was diagnosed to have acute phlegmonous gastritis of the remnant stomach by the findings of CT and the pus discharge of a nasogastric aspirate. Acute phlegmonous gastritis is a rare inflammatory disorder of the stomach, and it involves high mortality because it is so often misdiagnosed and treatment is initiated too late. The present case is the first surgically related case of acute phlegmonous gastritis after a gastric operation.

ISSN:0253-4886    

DOI:10.1159/000172337

出版商:S. Karger AG    

年代:1995

数据来源: Karger