A Giant Gastric Adenoma Embedded in the Duodenum.
Gastric adenomas are usually located in the antrum, or occasionally in the fundus of the stomach. Most adenomas are solitary, pedunculated mass. The report describes a 17-year girl who visited the emergency room with complaints of stabbing pain of upper abdomen, nausea, vomiting and melena for last one week. Emergency endoscopic examination revealed a giant polyp with a long about 15 cm pedicle embedded in the duodenum. The polyp was completely removed by surgery, about 15 x 3 x 4 cm in size. At 5-year follow-up by endoscopy and ultrasonography, the patient remained in good general condition. It emphasizes that giant gastric adenomas must be removed by endoscopy or surgery due to its potential of malignancy. It is necessary to follow-up for detecting early gastric neoplasm.
Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Chun Shuang
CS
Guan
Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Da Qing
da Q
Ma
Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Hai Yi
HY
Hu
Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Wei Hua
WH
Liu
D000236:Adenoma / Q000473:pathology / Q000601:surgery*; D000293:Adolescent; D004386:Duodenum / Q000473:pathology*; D016145:Endoscopy, Digestive System / Q000379:methods*; D005260:Female; D006801:Humans; D008551:Melena / Q000150:complications / Q000175:diagnosis; D011127:Polyps / Q000175:diagnosis / Q000601:surgery*; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014839:Vomiting / Q000150:complications / Q000175:diagnosis