Yamamura H, Hiraide A, Tabuse H, Yamamoto H, Sugimoto H, Yoshioka T, Sugimoto T
Department of Traumatology, Osaka University School of Medicine, Japan.
Nihon Geka Gakkai Zasshi. 1991 Aug;92(8):1027-30.
A gastric hemorrhage in a patient with pseudoxanthoma elasticum (PXE) is reported. A 44-year-old woman was admitted to our hospital with hematemesis. Bleeding point was located at upper body of the stomach. As neither endoscopic alcohol injection nor operative hemostasis by over sewing under gastrotomy were unsuccessful, total gastrectomy was performed. Histologic examination of the stomach revealed fragmentation of elastic fiber in the internal lamina of arteriole and degeneration of muscle layer. This change was observed fundamentally in all specimens obtained from different region of the stomach. In addition to describing clinical and pathological feature of this case, the management of gastric hemorrhage in patients with PXE is discussed.
报告了一例弹性假黄瘤（PXE）患者的胃出血情况。一名44岁女性因呕血入院。出血点位于胃体上部。由于内镜下酒精注射和胃切开术下缝合止血均未成功，遂行全胃切除术。胃组织学检查显示小动脉内弹力层弹性纤维断裂及肌层变性。从胃的不同区域获取的所有标本基本都观察到了这种变化。除了描述该病例的临床和病理特征外，还讨论了PXE患者胃出血的处理方法。
