J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 5020KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 81(6): 462-467, 1980

Original article

ABNORMAL POSITION OF GASTRODUODENAL ORIFICE
－A CASE OF COEXISTING KISSING ULCERS AND A VERY SMALL MUCOSAL CARCINOMA－

*) Department of Surgery, Kawaguchi Industry General Hospital
**) Second Department of Surgery, Tokyo Medical and Dental University
***) Section of Pathology, Department of Clinical Laboratory, Tokyo Medical and Dental University

Shigeru Oshima*), Hideki Nakahara*), Mahito Imajo*), Akane Kurisu*), Michio Nagashima**), Yoichi Murayama**), Eisaku Gu**), Kenichi Asano**), Nozomu Aoki***)

A 48-year-old man was found to have a deformed stomach with the orifice located in the middle portion of the stomach body with the duodenum at almost a right angle. One year later, he underwent laparotomy for a bleeding ulcer. The source of bleeding was a kissing ulcer located in the anterior and posterior walls. The orifice was located 5 cm distal to the cardioesophageal junction and was 3 cm in diameter. Associated anomalies were a small stomach, absence of the right gastric artery, and a separate lobe of the liver. By confirming the absence of a linear ulcer at the lesser curvature by histological examination and the absence of atrophy of pyloric antrum by the examination of the transitional zone, it was determined that the deformity was not caused by snail-shaped rolling up.
A well-differentiated carcinoma 1.5 mm in diameter was found 3 cm from the ulcer on the anterior wall.

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