title: [Multiple gastric wall abscesses--a rare differential endosonographic diagnosis of submucous stomach tumors].
abstract: We report a rare case of a 52 year old patient with multiple gastric wall abscesses. In 1987 a selective proximal vagotomy was performed. Because of non-specific gastric symptoms in 1993 an endoscopy and an endoscopic ultrasound was performed at another hospital which resulted in the likely diagnosis of multiple leiomyomas. Three months later a control endosonography showed three well demarcated submucosal tumors, partly echo-genic, but with an inhomogeneous echo-pattern. A laparotomy and histological examination of the submucosal gastric tumors revealed multiple gastric abscesses with granulomas after selective proximal vagotomy. Difficulties in the differential diagnosis of submucosal gastric tumors arising from this case are demonstrated and discussed.
authors.affiliation: Klinik und Poliklinik für Innere Medizin I, Universität Regensburg.
authors.forename: H
authors.initials: H
authors.lastname: Messmann
authors.forename: S
authors.initials: S
authors.lastname: Hollerbach
authors.forename: V
authors.initials: V
authors.lastname: Gross
authors.forename: A
authors.initials: A
authors.lastname: Holstege
authors.forename: R
authors.initials: R
authors.lastname: Büttner
authors.forename: J
authors.initials: J
authors.lastname: Schmidt
authors.forename: W
authors.initials: W
authors.lastname: Hohenberger
authors.forename: J
authors.initials: J
authors.lastname: Schölmerich
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013270:Stomach / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013272:Stomach Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014463:Ultrasonography; D014629:Vagotomy, Proximal Gastric
vernacular_title: Multiple Magenwandabszesse--eine seltene endosonographische Differentialdiagnose submuköser Magentumoren.