Korean J Gastrointest Endosc > Volume 35(3); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(3): 186-189.
위출혈을 동반한 긴 유경성의 심재성 낭성 위염 1예
윤지은·김민수·이규철·박효진·박찬일*
연세대학교 의과대학 내과학교실, *병리학교실
A Case of Gastritis Cystica Profunda with a Long Stalk Presenting with Upper Gastrointestinal Bleeding
Ji Eun Yoon, M.D., Min Su Kim, M.D., Kyu Chol Lee, M.D., Hyo Jin Park, M.D. and Chan Il Park, M.D.*
Departments of Internal Medicine and *Pathology, Yonsei University College of Medicine, Seoul, Korea
Abstract
Gastritis cystica profunda (GCP) is a rare disease in which hyperplastic and cystic dilatation of the gastric mucous glands extend into the tissues beneath the submucosa. GCP is mainly observed at the site of a gastroenterostomy; however, it may occur in the stomach without a previous history of surgery. GCP may present not only as a submucosal tumor or as solitary or diffuse polyps but also rarely as a giant gastric mucosal fold. In a patient without a previous history of surgery, GCP presents mainly as a sessile polypoid protrusion or as a submucosal tumor. In addition, GCP presents with non-specific symptoms and is most commonly found incidentally. We present a case of GCP that developed upper gastrointestinal bleeding and showed a long stalk and a focal ulcerative lesion on the surface of a polyp that developed in the stomach without a history of previous surgery. This lesion was removed by the use of an endoscopic polypectomy and was histologically diagnosed as GCP. (Korean J Gastrointest Endosc 2007;35:186-189)
Key Words: Gastritis cystica profunda, Gastrointestinal bleeding, Polyp
주요어: 심재성 낭성 위염, 상부 위장관 출혈, 용종
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