Korean J Gastrointest Endosc.
2001 Dec;23(6):474-478.
A Case of Penetrating Gastric Ulcer Mimicking Hypervascular Tumor
- Affiliations
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- 1Department of Internal Medicine, Pusan National University, College of Medicine, Busan, Korea. prepulsi@hanmail.net
- 2Department of Pathology, Pusan National University, College of Medicine, Busan, Korea.
Abstract
- Peptic ulcer which extend beyond the serosa of the bowel wall may not perforate freely into the peritoneal cavity but instead penetrate adjacent structures (confined perforation). It has been reported that the frequency of penetration of peptic ulcer has been estimated around 20 percent in patients undergoing laparotomy for peptic ulcers. A 46-year- old male was admitted with chief complaint of hematemesis. Endoscopic examination revealed submucosal tumor like lesion with central ulcer and active bleeding which was located at the upper body, posterior wall of the stomach. Angiography demonstrated hypervascular tumor like lesion supplied by left gastric artery and short gastric branches of splenic artery. Postoperative biopsies showed inflammatory cell infiltration at the typical ulcer base and no evidence of malignancy. There was loss of acinus structure and fibrous adhesion with omentum at the pancreas. We report a case of gastric ulcer penetrating into pancreas, spleen with hypervascular nature with brief review of literatures.
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