Korean Journal of Gastrointestinal Endoscopy 2010;41(4): 228-231.
십이지장으로의 유입으로 인한 부분 폐색 증상을 나타낸 위염 낭종성 용종
김주환ㆍ권창일ㆍ구승원ㆍ유광호ㆍ김광일*ㆍ정소영ㆍ고광현ㆍ홍성표
CHA의과학대학교 분당차병원 내과학교실, *병리학교실
Partial Duodenal Obstruction Caused by an Impacted Gastritis Cystica Polyposa
Ju Hwan Kim, M.D., Chang Il Kwon, M.D., Seung Won Koo, M.D., Kwang Ho Yoo, M.D., Gwang Il Kim, M.D.*, So Young Chong, M.D., Kwang Hyun Ko, M.D. and Sung Pyo Hong, M.D.
Departments of Internal Medicine, *Pathology, CHA Bundang Medical Center, CHA University, Seongnam, Korea
Abstract
Gastritis cystica polyposa is an uncommon lesion that usually occurs at the gastroenterostomy site, but it may also develop in the non-operated stomach. This malady is characterized by polypoid mucosal changes with hyperplasia and cystic dilatation of glands that infiltrate into the submucosal layer. We report here on a case of gastritis cystica polyposa that presented as a mass impacted in the duodenum in a 63-year-old male, and this patient had been admitted for evaluation of progressive epigastric fullness and dyspepsia. Esophagogastroduodenoscopy revealed that the partial duodenal obstruction was caused by impaction of a huge polypoid mass with a stalk that originated from the lower body of the stomach. We fished out the impacted mass with a forceps catheter while holding the neck with a snare catheter. Thereafter, an endoloop was applied to the stalk of mass, and this was followed by polypectomy using a snare catheter. (Korean J Gastrointest Endosc 2010;41:228-231)
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