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Subepithelial Lesion of the Gastric Fundus Caused by an Accessory Spleen

위점막밑 병변으로 나타난 부비장 1예

  • Park, Myoung-Ok (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Lee, Sung-Won (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Kim, Hee-Jung (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Choi, Dae-Hee (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Park, Sung-Chul (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Lee, Sung-Joon (Department of Internal Medicine, Kangwon National University School of Medicine) ;
  • Kang, Chang-Don (Department of Internal Medicine, Kangwon National University School of Medicine)
  • 박명옥 (강원대학교 의학전문대학원 내과학교실) ;
  • 이성원 (강원대학교 의학전문대학원 내과학교실) ;
  • 김희정 (강원대학교 의학전문대학원 내과학교실) ;
  • 최대희 (강원대학교 의학전문대학원 내과학교실) ;
  • 박성철 (강원대학교 의학전문대학원 내과학교실) ;
  • 이성준 (강원대학교 의학전문대학원 내과학교실) ;
  • 강창돈 (강원대학교 의학전문대학원 내과학교실)
  • Published : 2012.02.01

Abstract

When a submucosal lesion is discovered at the gastric fundus by gastroscopy, it may be difficult to distinguish a gastric external compression from a true submucosal tumor (SMT). The stomach is a hollow organ centrally placed in the upper abdomen, and it is possible to have a protruding external compression at the fundus, particularly from an enlarged spleen or splenic artery. An accessory spleen or splenosis is not a very unusual finding but may rarely produce such external compression at the gastric fundus. We experienced a case of an accessory spleen mimicking a gastric SMT diagnosed through a gastroscopy after a splenectomy.

위는 복부 중앙에 위치하여 주변의 장기로 인한 눌림이 흔하게 나타나며, 이는 종종 점막밑종양과 감별이 필요하다. 특히 위 바닥은 흔하게 정상적인 해부학적 구조물인 비장이나 비장동맥으로 인한 벽외성 압박이 관찰되는 경우가 많다. 저자들은 외상으로 인한 신장 및 비장절제술을 받은 환자가 속쓰림과 소화불량이 심하여 시행한 위내시경 검사에서 위바닥의 점막밑종양이 의심되었던 증례로 수술 후 부비장으로 확인되어 보고하는 바이다.

Keywords

References

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