Abstract:
RATIONALE:Splenosis is the heterotopic auto-transplantation of the splenic tissues. Gastric splenosis in a rare location mimics a gastrointestinal stromal tumor (GIST). Gastric splenosis with hemangioma has not been reported throughout the literature. PATIENT CONCERNS:We report a case of a 74-year-old schistosomiasis cirrhosis splenectomy woman diagnosed with gastric fundus mass. Preoperative computed tomography and endoscopic ultrasonography revealed findings suggestive of a GIST. DIAGNOSES:The mass located in the gastric fundus muscularis propria, measuring 3.9 × 2.8 × 2.4 cm with a dark red color, was removed by surgery. In the mass, a 1 × 1-cm red-purple nodule was also found. On microscopic examination, a well-formed splenic tissue divided into two compartments-white pulp and red pulp-separated by an ill-defined interphase known as the marginal zone. However, a nodule in the heterotopic spleen was mainly composed of larger thin-walled muscular vessels. The final diagnosis was gastric splenosis with hemangioma. INTERVENTIONS:After discussion in a multidisciplinary conference, the patient was considered for a GIST resection under gastroscopy. In the process of peeling, the surface of the mucosal, submucosal, muscle layers and the tumor surface were diffusely oozing. The effect of electrocoagulation and hemostasis was extremely poor. Therefore, endoscopic surgery was arrested. After dealing with the patient's family, a combination of laparoscopic-gastroscope double-mirror surgery was decided in accordance with the principle of minimally invasive surgery to preserve the stomach. Owing to several adhesions and concealed the location of tumor, we stopped the double-mirror combination surgery plan. Considering the great possibility of a malignant GIST, we still decided to continue the traditional surgical resection. The tumor was then removed via surgery OUTCOMES:: The patient was favorable with healing and discharged on postoperative day 10. LESSONS:Gastric splenosis with an associated hemangioma is the first well-documented case. Its pathogenesis may be direct implantation. Appropriate medical history taking and Tc-99 m heat-denatured RBC spleen scintigraphy (Tc-99MHDRS) are valuable for its diagnosis; however, pathology is the gold standard. Surgery is a reasonable treatment for gastric splenosis with hemangioma.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Guan B,Li XH,Wang L,Zhou M,Dong ZW,Luo GJ,Meng LP,Hu J,Jin WYdoi
10.1097/MD.0000000000011461subject
Has Abstractpub_date
2018-07-01 00:00:00pages
e11461issue
27eissn
0025-7974issn
1536-5964pii
00005792-201807060-00077journal_volume
97pub_type
杂志文章,评审相关文献
MEDICINE文献大全abstract:RATIONALE:The diagnosis of anaplastic lymphoma kinase (ALK)-negative inflammatory myofibroblastic tumors (IMT) remains challenging because of their morphological resemblance with spindle cell sarcoma with myofibroblastic characteristics. PATIENT CONCERNS:A 69-year-old female patient presented with loco-regional recurr...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019577
更新日期:2020-03-01 00:00:00
abstract::This study investigated the effects of the presence of type 2 diabetes mellitus (T2D) and/or chronic liver disease (CLD) on the incidence and prognosis of dementia during a 10-year period in Korea using a nationwide population-based dataset from the Korea National Health Insurance Service.To assess the impact of T2D a...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008753
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Femoroacetabular impingement (FAI) is a common cause of hip pain and restricted range of motion in young adults and athletes. This study aims to compare clinical results and complications between patients treated for FAI who underwent either arthroscopic or open treatment. METHODS:The 7 studies were acquire...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000023364
更新日期:2020-11-20 00:00:00
abstract:BACKGROUND:This study aims to systematically explore the effectiveness of neuromuscular electrical stimulation (NMES) combined with rehabilitation training (RT) for the treatment of post-stroke limb spasticity (PSLS). METHODS:We will search Cochrane Library, MEDILINE, EMBASE, CINAHL, AMED, PsycINFO, WOS, Scopus, OpenG...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017261
更新日期:2019-09-01 00:00:00
abstract:ABSTRACT:To date research investigating the associations between handgrip strength and multimorbidity when stratifying by age and sex is limited. Furthermore, this is the first study in a Korean population, and the first to include adults ≥ 19 years of age. Here we investigated the associations between handgrip strengt...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023994
更新日期:2021-01-08 00:00:00
abstract::Acute acquired concomitant esotropia (AACE) is a rare, distinct subtype of esotropia. The purpose of this retrospective study was to describe the clinical characteristics and discuss the classification and etiology of AACE.Charts from 47 patients with AACE referred to our institute between October 2010 and November 20...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002273
更新日期:2015-12-01 00:00:00
abstract:RATIONALE:The superior sagittal sinus (SSS) and transverse sinus are the major dural sinuses that receive a considerable amount of venous drainage. The occlusion of them has been suggested to cause intracranial hypertension, hemorrhage, and lead to potentially fatal consequences. PATIENT CONCERNS:We reported a 35-year...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009038
更新日期:2017-12-01 00:00:00
abstract::Identification of secondary colonic neoplasia proximal to obstructing colorectal cancer is essential for determining the range of colorectal resection.We examined the accuracy of 18-fluoro deoxy glucose-positron emission tomography (FDG-PET) for detection of colonic neoplasia.We recruited patients with obstructing col...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011655
更新日期:2018-08-01 00:00:00
abstract:RATIONALE:Late complement deficiency increases susceptibility to meningococcal disease and recurrent infections. In Korea, 5 case reports have described meningococcal disease with complement deficiency. However, C6 deficiency has not been described previously. PATIENT CONCERNS:A 21-year-old police trainee presented wi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020362
更新日期:2020-05-22 00:00:00
abstract::The purpose of this observational study was to examine the prevalence of obesity in children of 6 to 8 years of age from primary public schools over a period of 6 years and the associated environmental and metabolic health risk factors.This was a cohort observational study to investigate the prevalence of obesity in c...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015666
更新日期:2019-05-01 00:00:00
abstract::To assess the mental health of nurses and to find the post responsibility and psychological status of clinical nurses.A total of 447 nursing staff at different levels in a teaching hospital was assessed by nursing post responsibility scale and mental symptom checklist (SCL-90) then compared with each other. The study ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019049
更新日期:2020-02-01 00:00:00
abstract::Several scoring systems are commonly used to evaluate severity in patients with traumatic injuries. However, there is no generally accepted standard scoring system to assess the severity of thoracic trauma, specifically in patients who have sustained severe injuries. The present study aimed to evaluate the validity of...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008317
更新日期:2017-10-01 00:00:00
abstract::1. Studies on eight patients were performed to clarify the mechanism(s) of altered sodium metabolism and volume regulation in SIADH. The mechanism controlling water excretion was also studied to determine whether there is evidence that altered osmoregulation may be the basis for inappropriate ADH secretion in some pat...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/00005792-197905000-00004
更新日期:1979-05-01 00:00:00
abstract::HIV-infected individuals on antiretroviral therapy (ART) are at increased risk of cardiovascular disease (CVD). Given the relationship between innate immune activation and CVD, we investigated the association of single-nucleotide polymorphisms (SNPs) in TLR4 and CD14 and carotid intima-media thickness (cIMT), a surrog...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004477
更新日期:2016-08-01 00:00:00
abstract::Wnt/β-catenin signaling pathway is thought to be implicated in the development of arterial stiffness and vascular calcification. As a Wnt signaling pathway inhibitor, it is interesting to investigate whether sclerostin or dickkopf-1 (DKK1) level is correlated with arterial stiffness in renal transplant (RT) recipients...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003300
更新日期:2016-04-01 00:00:00
abstract::Folate receptor-mediated staining solution detection (FRD) has been recently suggested as an effective tool in the cervical cancer screening. We aim to compare the accuracy of FRD to human papillomavirus (HPV) and thinprep cytology test (TCT) based on cytology-based biopsy.During May 2016 and December 2016, we recruit...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011868
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:This systematic review aims to explore the effectiveness and safety of extracorporeal shock-wave therapy (ESWT) for patients with frozen shoulder. METHODS:The sources of Cochrane Central Register of Controlled Trials, EMBASE, MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Web of Science,...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000014506
更新日期:2019-02-01 00:00:00
abstract:INTRODUCTION:Pneumonia is one of the most important characteristics of coronavirus disease 2019 (COVID-19) and imaging findings of COVID-19 pneumonia are diverse and change over disease course. However, the detailed clinical course of organizing pneumonia (OP) caused by COVID-19 has not been clarified. PATIENT CONCERN...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021804
更新日期:2020-08-28 00:00:00
abstract:BACKGROUND:the difference in the risk of thyroid malignancy for patients with multinodular goiter (MNG) and solitary nodular goiter (SNG) remains controversial. Although total thyroidectomy (TT) is the current preferred surgical option for MNG, permanent hypothyroidism in these patients may be a concern. Therefore, we ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004194
更新日期:2016-07-01 00:00:00
abstract::Pregnancy-associated plasma protein-A (PAPP-A) level is an independent predictor of acute cardiovascular event occurrence. To test the hypothesis that increased PAPP-A levels would be associated with a higher burden of coronary thin-cap fibroatheroma (TCFA) thereby underlying the heightened risk for cardiovascular eve...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002563
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Coronavirus disease 2019 (COVID-19) is a global pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). There is no specific cure for this disease, and the clinical management mainly depends on supportive treatment. Traditional Chinese medicines (CHM) is widely used in treating C...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020157
更新日期:2020-05-29 00:00:00
abstract:BACKGROUND:The critically ill and surgical patients are at significant risk of delirium, which is associated with a high morbidity and mortality. The association between statin use and the incidence of delirium is still controversial. In this article, we will perform a systematic review and meta-analysis of published s...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000013679
更新日期:2018-12-01 00:00:00
abstract::The aim of our study was to compare the clinical and surgical characteristics of pregnant and nonpregnant women with surgically verified ovarian torsion, as well as the differences among 3 trimesters during pregnancy.We conducted a retrospective study of patients diagnosed with surgically proven ovarian torsion in our...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020627
更新日期:2020-06-12 00:00:00
abstract::Disseminated intravascular coagulation (DIC) is a life-threatening condition that frequently occurs in patients with hematologic malignancies. Currently, recombinant human soluble thrombomodulin (rTM) is a therapeutic DIC drug that is manufactured and sold in Japan only. We evaluated the efficacy of rTM compared to th...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012981
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Osteopathic medicine is an emerging and complementary method used in neonatology. METHODS:Outcomes were the mean difference in length of stay (LOS) and costs between osteopathy and alternative treatment group. A comprehensive literature search of (quasi)- randomized controlled trials (RCTs), was conducted f...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000006408
更新日期:2017-03-01 00:00:00
abstract:RATIONALE:The ischemic penumbra assessment is essential for the subsequent therapy and prediction of evolution in patients with acute ischemic infraction. Although controversial as a perfect equivalence to penumbra, perfusion-weighted imaging (PWI)-diffusion-weighted imaging (DWI) mismatch may predict the response to t...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006091
更新日期:2017-02-01 00:00:00
abstract::This study is to investigate the methylation status of multiple tumor suppressor 1 (p16), secreted glycoprotein 2 (SLIT2), scavenger receptor class A, member 5 putative (SCARA5), and human runt-related transcription factor 3 (Runx3) genes in the peripheral blood of hepatocellular carcinoma (HCC).This is a case-control...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008279
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Coronavirus disease 2019 (COVID-19) is a rapidly spreading disease that has been in a public health emergency of international concern since its outbreak in 2020. Due to the complex pathogenesis and susceptibility of COVID-19, many commonly used drugs for the treatment of COVID-19 have not shown excellent cl...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000023224
更新日期:2020-11-25 00:00:00
abstract:RATIONALE:Spontaneous and repeated hepatic ruptures caused by hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome are uncommon but life-threatening conditions that rarely occur early in the second trimester of pregnancy. PATIENT CONCERNS:We describe a patient who experienced spontaneous hepatic ruptu...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011458
更新日期:2018-07-01 00:00:00
abstract::To examine the characteristics and short-term outcome of perioperative myocardial infarction (PMI), a single-center retrospective study was carried out. The electronic medical records of 278,939 patients aged 45 years or older who underwent non-cardiac surgery at Renji Hospital from January 2003 to December 2015 were ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016929
更新日期:2019-08-01 00:00:00