A Case of Idiopathic Gastroesophageal Submucosal Hematoma and Its Disappearance Observed by Endoscopy

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  • OE Shinji
    Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
  • WATANABE Tatsuyuki
    Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
  • KUME Keiichiro
    Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
  • SHIBATA Michihiko
    Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
  • HIURA Masaaki
    Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
  • YOSHIKAWA Ichiro
    Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
  • HARADA Masaru
    Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan

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Other Title
  • 内視鏡にて消褪経過を観察し得た特発性胃食道粘膜下血腫の1例

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Abstract

A 74-year-old man was hospitalized due to hematemesis. Upper gastrointestinal endoscopy revealed a very large and dark red mass in the cardiac region of the stomach that extended from the upper esophagus. A biopsy specimen showed hemorrhagic tissue and no malignant cells. The tumor-like region ulcerated at 5 days after the administration of intravenous lansoprazole at a dose of 30 mg twice a day and resolved with scar formation at 2 months after a change to oral rabeprazole at a dose of 10 mg/day.We diagnosed the patient with gastroesophageal submucosal hematoma. Gastroesophageal submucosal hematoma is a rare complication. In this case, we could follow the process of its disappearance by endoscopy.

Journal

  • Journal of UOEH

    Journal of UOEH 36 (2), 123-128, 2014

    The University of Occupational and Environmental Health, Japan

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