title: [Carcinoma of the gastric remnant fed by the accessory left gastric artery--a case report].
abstract: A 65-year-old female, who had undergone partial gastrectomy with Billroth II reconstruction for duodenal ulcer 22 years ago, visited our hospital with a complaint of anorexia. Roentgenogram and endoscopic examination revealed a protruding lesion on the posterior wall of the gastric remnant. An endoscopic biopsy specimen was histologically regarded as carcinoma. Proper hepatic arteriography revealed an accessory left gastric artery arising from the left hepatic artery, which was a main feeder to the tumor. Total gastrectomy with lymph node dissection and splenectomy were performed. Histology of the tumor was poorly differentiated adenocarcinoma located in the submucosal layer. To our knowledge, there is no report about the carcinoma of the gastric remnant fed by the accessory left gastric artery.
authors.affiliation: Department of Surgery, Nantan General Hospital, Kyoto, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Suzuki
authors.forename: T
authors.initials: T
authors.lastname: Ueki
authors.forename: M
authors.initials: M
authors.lastname: Okamoto
authors.forename: M
authors.initials: M
authors.lastname: Fukuda
authors.forename: T
authors.initials: T
authors.lastname: Miyauchi
authors.forename: M
authors.initials: M
authors.lastname: Ishida
mesh_terms: D000230:Adenocarcinoma / Q000098:blood supply* / Q000473:pathology / Q000601:surgery; D000368:Aged; D001158:Arteries; D004381:Duodenal Ulcer / Q000601:surgery; D005260:Female; D005743:Gastrectomy; D006801:Humans; D013270:Stomach / Q000098:blood supply*; D013274:Stomach Neoplasms / Q000098:blood supply* / Q000473:pathology / Q000601:surgery