SPONTANEOUSLY OCCURRING WIDESPREAD LACERATION AND BLEEDING IN A PATIENT WITH GASTRIC SARCOIDOSIS DURING AN ENDOSCOPIC EXAMINATION

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  • 上部消化管内視鏡検査中に広範囲に胃粘膜裂創を来した胃サルコイドーシスの1例

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A 68-year-old woman had visited a medical clinic because of abdominal bloating. Endoscopic examination had shown diffuse granular lesions in the entire stomach. Histological examination of the lesions revealed non-caseous granulomas. After clinically differentiation such as various diseases such as Crohn's disease, tuberculosis, or histoplasmosis, she had been diagnosed as having gastric sarcoidosis. Esophagogastrodudenoscopy (EGD) had been performed once a year as an annual screening. During a follow-up EGD on April 2011, lacerations with bleeding spontaneously occurred at the lesser curvature from the middle to the upper parts of the stomach. Thus, she was admitted to our hospital. Three days later, follow-up EGD examination showed improvement in the gastric lesions, and she was discharged from our hospital. It is important to gently manipulate the scope without excessive air insufflation in patients with gastric sarcoidosis because of mucosal friability.

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