Messmann H, Hollerbach S, Gross V, Holstege A, Büttner R, Schmidt J, Hohenberger W, Schölmerich J
Klinik und Poliklinik für Innere Medizin I, Universität Regensburg.
Z Gastroenterol. 1995 Mar;33(3):170-2.
We report a rare case of a 52 year old patient with multiple gastric wall abscesses. In 1987 a selective proximal vagotomy was performed. Because of non-specific gastric symptoms in 1993 an endoscopy and an endoscopic ultrasound was performed at another hospital which resulted in the likely diagnosis of multiple leiomyomas. Three months later a control endosonography showed three well demarcated submucosal tumors, partly echo-genic, but with an inhomogeneous echo-pattern. A laparotomy and histological examination of the submucosal gastric tumors revealed multiple gastric abscesses with granulomas after selective proximal vagotomy. Difficulties in the differential diagnosis of submucosal gastric tumors arising from this case are demonstrated and discussed.
我们报告一例罕见的52岁患有多处胃壁脓肿的患者。1987年进行了选择性近端迷走神经切断术。1993年，由于出现非特异性胃部症状，患者在另一家医院接受了内镜检查和内镜超声检查，结果可能诊断为多发性平滑肌瘤。三个月后，对照内镜超声检查显示有三个界限清楚的黏膜下肿瘤，部分呈回声性，但回声模式不均匀。对胃黏膜下肿瘤进行剖腹手术和组织学检查发现，选择性近端迷走神经切断术后出现了多处伴有肉芽肿的胃脓肿。本文展示并讨论了由该病例引发的胃黏膜下肿瘤鉴别诊断的难点。
