Costa B P, Manso C, Baldaia C, Alves F C, Sousa F C
Gastrenterology Department, Coimbra University Hospital, Portugal.
Hepatogastroenterology. 2000 Jan-Feb;47(31):151-4.
The authors present a case report of a pseudotumor of the stomach and a brief discussion about this very unusual entity. A 75-year-old female patient was admitted with melena and a large epigastric tumor; she underwent upper gastrointestinal endoscopy, abdominal ultrasound, magnetic resonance imaging, guided needle aspiration and angiography. Preoperative diagnostic hypothesis included a partially thrombosed aneurysm of the splenic artery, pancreatic cystic neoplasm with gastric invasion and pancreatic pseudocyst complicated with hemorrhage. Laparotomy revealed a gastric tumor and the patient was submitted to a radical subtotal Billroth II gastrectomy. Only the pathologic examination revealed the unexpected definitive diagnosis of an organized intramural gastric hematoma. There were no postoperative complications and she remains asymptomatic 10 months after surgery.
作者报告了一例胃假瘤病例，并对这个非常罕见的实体进行了简要讨论。一名75岁女性患者因黑便和上腹部巨大肿瘤入院；她接受了上消化道内镜检查、腹部超声、磁共振成像、引导针吸活检和血管造影。术前诊断假设包括脾动脉部分血栓形成的动脉瘤、侵犯胃的胰腺囊性肿瘤以及并发出血的胰腺假性囊肿。剖腹手术发现一个胃肿瘤，患者接受了根治性毕Ⅱ式胃次全切除术。只有病理检查揭示了出人意料的最终诊断——组织化的壁内胃血肿。术后无并发症，术后10个月她仍无症状。
