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KMID : 0378019670100060124
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New Medical Journal
1967 Volume.10 No. 6 p.124 ~ p.127
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Congenital Pyloric Diverticulum
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朴聖德/Park, Sung Duk
李奇麟/李駿基/金子勳/Lee, Ki Rin/Rhee, Chun, Ki/Kim, Ja Hoon
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Abstract
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A man, 48 years of age, who has had several episodes of hematemesis and melena during his youth, was admitted in shock state because of the massive hematemesis, and the clinical impression was given as peptic ulcer.
Exploration revealed a saccular diverticulum with a concrement, 5em in diameter; 7cm in deepness, and 3cm in ostial diameter, near the pyloric ring at the anterior gastric wall, and an active ulcer with scar formation was observed from the opposite site to the diverticular ostium at the posterior gastric wall.
No adhesion with neighboring organs was noticed.
Macroscopically, the diverticular wall was normal in thickness with intact mucosa. And so hemigastrectomy was performed.
Microsopically, the wall of the diverticulum possessed all layers, i.e., mucosa, submucosa, well developed muscle coats and subserosa, showing mild chronic inflammatory cell infiltration throughout all layers, and the covering mucosa was of typical pyloric type with pyloric glands. Submucosa was edematous and hemorrhagic.
Literature concerning the diverticula of the stomach was reviewed and the present case was thought to be a congenital pyloric diverticulum.
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