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

[Abstract] [Full Text PDF] （in Japanese / 2540KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 92(8): 1027-1030, 1991

Case report

A CASE REPORT OF PSEUDOXANTHOMA ELASTICUM WITH UPPER GASTROINTESTINAL HEMORRHAGE

Department of Traumatology, Osaka University School of Medicine, Osaka, Japan

Hitoshi Yamamura, Atsushi Hiraide, Hisayuki Tabuse, Hiromasa Yamamoto, Hisashi Sugimoto, Toshiharu Yoshioka, Tsuyoshi Sugimoto

A gastric hemorrhage in a patient with pseudoxanthoma elasticum (PXE) is reported. A 44-year-old woman was admitted to our hospital with hematemesis. Bleeding point was located at upper body of the stomach. As neither endoscopic alcohol injection nor operative hemostasis by oversewing under gastrotomy were unsuccessful, total gastrectomy was performed. Histologic examination of the stomach revealed fragmentation of elastic fiber in the internal lamina of arteriole and degeneration of muscle layer. This change was observed fundamentally in all specimens obtained from different region of the stomach. In addition to describing clinical and pathological feature of this case, the management of gastric hemorrhage in patients with PXE is discussed.

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