Nguyen Huy Q, Phan Huy L, Dang Toan K, Mai Hung D, Tran Hien T, Tran Pham Nguyen K
Department of General Surgery, People's Hospital 115, Ho Chi Minh, VNM.
Cureus. 2024 Nov 23;16(11):e74293. doi: 10.7759/cureus.74293. eCollection 2024 Nov.
Fibrovascular polyps are rare, pedunculated, tumor-like lesions usually found in the esophagus. Their occurrence in the stomach is exceedingly rare. In the literature review, several case reports documented fibrovascular polyps developing in the stomach. In this article, we presented a case of a large fibrovascular polyp at the stomach's lesser curvature, protruding from the lesser curvature forward to the vascular spleen and the tail of the pancreas. The patient was admitted with signs of severe blood loss and underwent splenectomy with a misdiagnosis of splenic rupture at a secondary hospital before. The surgery was performed to remove the fibrovascular polyp with wedge gastric resection and distal pancreatectomy.
纤维血管性息肉罕见,有蒂,呈肿瘤样病变,通常见于食管。其在胃中极为罕见。在文献综述中,有几例病例报告记录了胃内发生的纤维血管性息肉。在本文中,我们报告了一例位于胃小弯处的巨大纤维血管性息肉,从胃小弯向前突出至脾血管和胰尾。该患者因严重失血症状入院,之前在一家二级医院被误诊为脾破裂并接受了脾切除术。此次手术通过楔形胃切除术和远端胰腺切除术切除了纤维血管性息肉。