[A case of a perforated duodenal ulcer coincident with a gastric carcinoma].
A 44-year-old male patient under treatment for a duodenal ulcer for the past 9 years visited our clinic because of a sudden pain in the epigastric region. He was diagnosed as having a perforated duodenal ulcer, so an emergency laparotomy was performed. In this operation, the coexistence of a gastric carcinoma was clarified, and a subtotal gastrectomy with an R2 dissection was done at the same time. The coexistent gastric carcinoma was localized to a size of 20 x 12 mm within the gastric proper mucosa. The infiltrated range of the cancer was as wide as 120 x 80 mm, extending to the proper tunica muscularis. This case was seen as manifesting a relative early stage of scirrhous carcinoma.
Tsuno
K
K
Dept. of Surgery, Showa Univ. School of Med.
Hataya
K
K
Satou
T
T
Satou
Y
Y
Shibusawa
M
M
Koike
T
T
Ishii
J
J
Fujii
K
K
D002293:Adenocarcinoma, Scirrhous / Q000150:complications* / Q000473:pathology / Q000601:surgery; D000328:Adult; D004381:Duodenal Ulcer / Q000150:complications*; D005743:Gastrectomy; D005753:Gastric Mucosa / Q000473:pathology; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D010439:Peptic Ulcer Perforation / Q000150:complications*; D013274:Stomach Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery