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Submucosal Gastric Actinomycosis in a Hematemesis Patient
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Àå³»¼º ( Jang Nae-Sung )
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À¯µ¿°É ( Yu Dong-Geol )
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Á¶ÇØâ ( Cho Hae-Chang )
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¹èº´Á¶ ( Bae Byung-Jo )
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KMID : 0371320010600030345
Abstract
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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Gastric submucosal actinomycosis
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