A case report of ball valve syndrome caused by the gastrointestinal stromal tumor arising from the muscularis mucosae in gastric fornix

  • ISHIKAWA Chisato
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College
  • WATARI Jiro
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College
  • UENO Nobuhiro
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College
  • KONNO Yoko
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College
  • SATO Ryu
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College
  • MORIICHI Kentaro
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College
  • OKAMOTO Kotaro
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College
  • TANABE Hiroki
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College
  • FUJIYA Mikihiro
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College
  • TOKUSASHI Yoshihiko
    Department of Pathology Section, Asahikawa Medical College Hospital
  • MIYOKAWA Naoyuki
    Department of Pathology Section, Asahikawa Medical College Hospital
  • KOHGO Yutaka
    Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College

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Other Title
  • 胃穹窿部の粘膜筋板由来と考えられるgastrointestinal stromal tumorによるball valve syndromeの1例

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Description

An 83-year-old woman who was admitted to other hospital, was consulted us because of continuous tarry stool and abdominal fullness. On upper endoscopy, the submucosal tumor from greater curvature of gastric fornix invaginated into the duodenal bulbus, showing so-called "ball valve syndrome (BVS)". As the tumor incarcerted again on the following endoscoopy, she underwent laparoscopic partial gastrectomy. The submucosal tumor was diagnosed histologically as gastrointestinal stromal tumor (GIST) arising from the muscularis mucosae. This is the first report that GIST arising from the muscularis mucosae in gastric fornix showed a BVS.<br>

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