Shibata Tomoyuki, Ichikawa Yuichiro, Okubo Masaaki, Tahara Tomomitsu, Ishizuka Takamitsu, Hirata Ichiro
Department of Gastroenterology, Fujita Health University, School of Medicine, Japan.
Intern Med. 2013;52(24):2749-52. doi: 10.2169/internalmedicine.52.1133.
The patient was a 35-year-old man who felt persistent hunger pain for five months. Upper gastrointestinal scope studies revealed a 20-mm polypoid lesion located in the middle body of the stomach. The pathological diagnosis revealed a granuloma in the biopsy specimens. The eradication of Helicobacter pylori had no effect on the patient's abdominal symptoms. Ultimately, the polypoid lesion was resected using endoscopy, and the patient was relieved of his hunger pain. The final diagnosis was a pyogenic granuloma in the stomach. This study is the first report of a pyogenic granuloma in the stomach in which the patient's abdominal pain disappeared after tumor resection performed via endoscopy.
该患者为一名35岁男性，持续饥饿性疼痛5个月。上消化道内镜检查发现胃体中部有一个20毫米的息肉样病变。病理诊断显示活检标本中有肉芽肿。根除幽门螺杆菌对患者的腹部症状无效。最终，通过内镜切除了息肉样病变，患者的饥饿性疼痛得到缓解。最终诊断为胃脓性肉芽肿。本研究是首例关于胃脓性肉芽肿的报告，该患者经内镜肿瘤切除后腹痛消失。
