診断に苦慮した原因不明の胃出血の1例

岩崎 良和; 小野 耕一; 西山 竜; 松岡 俊一; 大谷 豪; 平井 貴志; 栗原 竜一; 岡野 憲義; 中島 典子; 荻原 章史; 鈴木 壱知; 牛山 寿; 小橋 恵津; 岩崎 有良; 荒川 泰行; 山形 基夫

doi:10.11641/pdensks.53.0_136

Case report

A Case of Acute Hemorrhagic Gastritis who was Difficult to Definite Diagnose Because of the Unknown Cause

Yoshikazu Iwasaki, Kouichi Ono, Ryu Nishiyama, Shunichi Matsuoka, Takeshi Ohtani, Takashi Hirai, Ryuichi Kurihara, Noriyoshi Okano, Noriko Nakajima, Akifumi Ogiwara, Kazutomo Suzuki, Hisashi Ushiyama, Etsu Kohashi, Ariyoshi Iwasaki, Yasuyuki Arakawa, Motoo Yamagata

Author information

Yoshikazu Iwasaki
3rd Department of Internal Medicine, Nihon University School of Medicine
Kouichi Ono
3rd Department of Internal Medicine, Nihon University School of Medicine
Ryu Nishiyama
3rd Department of Internal Medicine, Nihon University School of Medicine
Shunichi Matsuoka
3rd Department of Internal Medicine, Nihon University School of Medicine
Takeshi Ohtani
3rd Department of Internal Medicine, Nihon University School of Medicine
Takashi Hirai
3rd Department of Internal Medicine, Nihon University School of Medicine
Ryuichi Kurihara
3rd Department of Internal Medicine, Nihon University School of Medicine
Noriyoshi Okano
3rd Department of Internal Medicine, Nihon University School of Medicine
Noriko Nakajima
3rd Department of Internal Medicine, Nihon University School of Medicine
Akifumi Ogiwara
3rd Department of Internal Medicine, Nihon University School of Medicine
Kazutomo Suzuki
3rd Department of Internal Medicine, Nihon University School of Medicine
Hisashi Ushiyama
3rd Department of Internal Medicine, Nihon University School of Medicine
Etsu Kohashi
3rd Department of Internal Medicine, Nihon University School of Medicine
Ariyoshi Iwasaki
3rd Department of Internal Medicine, Nihon University School of Medicine
Yasuyuki Arakawa
3rd Department of Internal Medicine, Nihon University School of Medicine
Motoo Yamagata
3rd Department of Surgery, Nihon University School of Medicine

JOURNAL FREE ACCESS

1999 Volume 53 Pages 136-137

DOI https://doi.org/10.11641/pdensks.53.0_136

Details

Abstract

A 67-year-old female was admitted to our hospital because of abdominal discomfort, weight loss and tarry stool. Endoscopic examination revealed active bleeding by put the air into the stomach. Upper GI X-ray examination shows the rigidity of gastric wall from the upper to middle body. Abdominal CT scan revealed the thickeness of gastric wall.
Selective gastroduodenal arteriography shows a marked hypervascularity at the middle body and fundic area. The patient underwent total gastrectomy. Macroscopic finding shows extensive hemorrhagic gastric mucosal lesions. Histological findings shows mucosal erosive lesions, thickness of the submucosal layer and the markedly vascular hyperplasia.
In this case, there are no charactristic identity with gastric antral vascular ectasia (GAVE) , diffuse antral vascular ectasia (DAVE) , Osler disease and A-V malformation.

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