Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Adenomyoma of the Stomach in a Child Presenting Epigastric Pain

심와부 복통으로 내원한 5세 소아에서의 위 선근종 1례

  • Heo, Mi-Young (Department of Pediatrics, Ewha Womans University College of Medicine) ;
  • Jung, Ji-A (Department of Pediatrics, Ewha Womans University College of Medicine) ;
  • Choi, Kum-Ja (Department of Surgery, Ewha Womans University College of Medicine) ;
  • Sung, Sun-Hee (Department of Pathology, Ewha Womans University College of Medicine) ;
  • Seo, Jeong-Wan (Department of Pediatrics, Ewha Womans University College of Medicine)
  • 허미영 (이화여자대학교 의과대학 소아과학교실) ;
  • 정지아 (이화여자대학교 의과대학 소아과학교실) ;
  • 최금자 (이화여자대학교 의과대학 일반외과학교실) ;
  • 성순희 (이화여자대학교 의과대학 병리학교실) ;
  • 서정완 (이화여자대학교 의과대학 소아과학교실)
  • Received : 2001.03.05
  • Accepted : 2001.03.24
  • Published : 2001.04.30
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Abstract

Adenomyomas of the stomach are rare tumors characterised by duct/gland-like structures embedded within a smooth muscle stroma. A 5-year-old female patient was admitted to the department of Pediatrics, Ewha Womans University MokDong Hospital with the history of severe epigastric pain and vomiting for 1 day. Esophagogastroduodenoscopy showed bridging fold with central dimpling on posterior wall of prepyloric antrum. Endoscopic biopsy was nondiagnostic. The patient complained epigastric pain continuously and underwent wedge resection. Pathologic examination showed an adenomyoma of the prepyloric antrum. After wedge resection, the patient did not complain epigastric pain during the postoperative follow-up. We report an unusual case of an adenomyoma of stomach.

심한 심와부 동통과 구토를 주소로 내원한 5세여아에서 상부 위장관 내시경으로 위유문동에서 중심요와를 보이는 비정상적인 주름을 관찰하였다. 복통이 계속되어 이소성췌장으로 생각하고 위부분절제술을 시행하여 치료한 위 선근종 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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