Korean Journal of Gastrointestinal Endoscopy 1993;13(1): 61-64.
위평활근종에 의한 위 천공 1예 ( A Case with Perforated Gastric Leiomyoma )
이준우, 조해석, 김병익, 전우규, 유영석, 정을순, 이상종, 김명숙 (Joon Woo Lee, Hae Suk Cho, Byung Ik Kim, Woo Kyu Jeon, Young Suck Lew, Eul Soon Chung, Sang Jong Lee and Myung Sook Kim)
Abstract
Gastric leiomyomas, which arise from smooth muscle tissue, are the most common non-epi- thelial tumors occurring in the stomach. This tumor is most commonly found incidentally at surgery or autopsy. The incidence of the leiomyoma is about 1-3% of all gastric tumors and sex distribution is equal. We have recently experienced a 59-year-old housewife who had epigastric pain and soreness of one month's duration. Physical examination disclosed tenderness with palpated mass in the left upper quadrant. Gastrofiberscopic finding revealed esophageal diverticulum in the mid-esophagus and 2 x 2 x 1 cm sized submucosal intramural mass with centrally depressed umbilication through ulcerative change on the greater curvature of lower body. Within the umbilication, there were food materials and blood clots. The sleeve segmental resection of stomach was performed. The histopathologic and post operative findings were atypical leiomyoma, perforated with abscess formation to the omentum.
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