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胃潰瘍を合併した胃内柿胃石症の1例


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Title: 胃潰瘍を合併した胃内柿胃石症の1例
Other Titles: A Case of Phytobezoar Associated with Gastric Ulcer
Authors: 宿輪, 克朗 / 陳, 建郎 / 正, 義之 / 椙原, 美昭
Authors (alternative): Shikuwa, Katsuro / Chen, Chien Lang / Sho, Yoshiyuki / Sugihara, Yoshiaki
Issue Date: Dec-1968
Publisher: 長崎大学熱帯医学研究所 / Institute of Tropical Medicine, Nagasaki University
Citation: 熱帯医学 Tropical medicine 10(4). p263-267, 1968
Abstract: A case of diospyrobezoar associated with gastric ulcer was reported. The patient, 34 years old seaman, was admitted because of epigastralgia and left hypochondralgia. He had been persimmon eater since his childhood. He had never suffered from any gastrointestinal symptoms until September '67 when epigastralgia, left hypochondralgia and persistent excessive salivation developed on a following day after eating ten persimmons and drinking about one liter of Japanese wine. The physical examination on April 22, 1968 at the time of admission revealed moderate nutritional condition with T. 98°F, P. 54 regular. Tongue was coated thin whitish. X-ray exmination of the stomach showed two filling defect which were elliptical in shape and man's fist in size, suspecting foreign bodies in the stomach, and ulcer in the lesser curvature. The presence of stonelike bodies were confirmed by observation with gastrocamera and gastrofiberscope. The gastric juice showed normal acidity and the stool occult blood was positive. Resection of the stomach with the stonelike bodies was performed on May 15. One bodies was about 9×6×9.5cm and another 7×4.8×4.3cm in size. The cut surface was reddish-brown in color, homogeneous, unstratified, and had the characteristic odor of "sake lees". The shibuol reaction was positive and the diospyrobezoar was diagnosed. Histology of lesion of stomach ulcer revealed benign in nature and patient's postoperative course was uneventful with gradual improvement.
URI: http://hdl.handle.net/10069/4043
ISSN: 03855643
Type: Departmental Bulletin Paper
Appears in Collections:Volume 10, No. 4

Citable URI : http://hdl.handle.net/10069/4043

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