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KMID : 0371320010600030345
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Journal of the Korean Surgical Society
2001 Volume.60 No. 3 p.345 ~ p.348
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Submucosal Gastric Actinomycosis in a Hematemesis Patient
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Jang Nae-Sung
Yu Dong-Geol
Cho Hae-Chang
Bae Byung-Jo
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Abstract
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We experienced a case of submucosal gastric actinomycosis, presenting as bleeding. The 65-year-old woman had a symptom of epigastric pain, without any other intra-abdominal disease entity. A gastrofiberscopic study demonstrated a submucosal mass lesion with bleeding at the fundus. Because of the bleeding, laparotomy was undertaken, and a abscess containing a large mass was found at the gastric fundus, and total gastrectomy undertaken. Histological examination revealed a giant acute ulcer with a submucosal abscess due to actinomycosis. Because of its rarity, submucosal gastric actinomycosis is an entity overlooked by most surgeons. We report upon this case of submucosal gastric actinomycosis and include a review of the literature.
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KEYWORD
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Gastric submucosal actinomycosis
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