Oe Shinji, Watanabe Tatsuyuki, Kume Keiichiro, Shibata Michihiko, Hiura Masaaki, Yoshikawa Ichiro, Harada Masaru
Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan.
J UOEH. 2014 Jun 1;36(2):123-8. doi: 10.7888/juoeh.36.123.
A 74-year-old man was hospitalized due to hematemesis. Upper gastrointestinal endoscopy revealed a very large and dark red mass in the cardiac region of the stomach that extended from the upper esophagus. A biopsy specimen showed hemorrhagic tissue and no malignant cells. The tumor-like region ulcerated at 5 days after the administration of intravenous lansoprazole at a dose of 30 mg twice a day and resolved with scar formation at 2 months after a change to oral rabeprazole at a dose of 10 mg/day.We diagnosed the patient with gastroesophageal submucosal hematoma. Gastroesophageal submucosal hematoma is a rare complication. In this case, we could follow the process of its disappearance by endoscopy.
一名74岁男性因呕血入院。上消化道内镜检查显示胃贲门区有一个非常大的暗红色肿块，从食管上段延伸而来。活检标本显示为出血性组织，未见恶性细胞。在每天两次静脉注射30mg兰索拉唑5天后，肿瘤样区域发生溃疡，在改为每天口服10mg雷贝拉唑2个月后形成瘢痕而消退。我们诊断该患者为胃食管黏膜下血肿。胃食管黏膜下血肿是一种罕见的并发症。在本病例中，我们能够通过内镜观察到其消失过程。
