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ID 110585
タイトルヨミ
ソウキ イガン ガ ゲンイン ト カンガエラレタ キュウセイ イ ホウカシキエン ノ 1レイ
タイトル別表記
A case of acute phlegmonous gastritis due to early gastric cancer
著者
正宗, 克浩 公立学校共済組合四国中央病院外科
古根川, 龍司 公立学校共済組合四国中央病院外科
居村, 暁 公立学校共済組合四国中央病院外科 徳島大学 教育研究者総覧 KAKEN研究者をさがす
花城, 徳一 公立学校共済組合四国中央病院外科
井内, 正裕 公立学校共済組合四国中央病院外科
キーワード
acute phlegmonous gastritis
early gastric cancer
gastrectomy
資料タイプ
学術雑誌論文
抄録
This paper describes a case of acute phlegmonous gastritis due to early gastric cancer diagnosed by the gastroendoscopic findings, the intraoperative findings and the histological diagnosis. A 58-year-old man presented with fever, nausea, vomiting and rapidly progressive upper abdominal pain. Gsatrofiberscopy showed remarkable redness and mucosal edema on the distal half portion of the stomach, and the ulcerated lesion in the antrum. We operated him emergently as suspected perforation of the stomach, and found the stomach swelling on the middle body to the antrum with remarkable wall thickness and redness under the laparotomy. Distal gastrectomy was performed on the diagnosis of acute phlegmonous gastritis. Histopathologic examination disclosed that the ulcerated lesion in the antrum was the early gastric cancer, 2.0×1.5cm, well-differentiated adenocarcinoma. The antrum around it had the thickest wall with severe inflammation including neutrophilic infiltration and microabcess, which was also observed to the middle body, although less severe. Acute phlegmonous gastritis is a nonspecific supprant inflammation that is as uncommon as only 111 cases described in the Japanese literature, including the present case. The pathogenesis is still unclear, although predisposing factors like mucosal injury, achlorhydria and immunocompromised state have been mentioned.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
59
1-2
開始ページ
52
終了ページ
56
並び順
52
発行日
2003-04-25
備考
P.56誤記あり(誤)Touru Imura → (正) Satoru Imura (誤) Tokuichi Hanaki → (正) Norikazu Hanaki
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
病院