An Endoscopic Case Report of Jejunal Leiomyosarcoma and Review of the Japanese Literature

Jejunoscopy for a small intestinal leiomyosarcoma was performed on a 73-year-old male. The patient was admitted because of a palpable abdominal mass. A barium meal study, abdominal ultrasonography, computed tomography and angiography suggested a leiomyogenic tumor with a central cavity arising from the jejunal loop extraluminally. Enteroscopy with a pediatric colonofiberscope (PCF) enabled us to observe a mucosal ulcer and a part of the cavity of the tumor. Histology of the resected tumor revealed it to be a leiomyosarcoma with a large central hollow connected to the mucosal ulcer. The authors discussed the endoscopic findings of 17 previously reported Japanese cases of jejunal leiomyosarcoma and the present case

内視鏡的に虫体を摘出しえた胃アニサキス症と回虫症 : 7症例の検討

川崎医科大学附属病院開設以来12年間に7例の胃内寄生虫を経験した.6例はアニサキスで,穿刺部位は胃体部大彎でびらんを伴っていた.全員鯖を摂取しており11月に多発していた.内視鏡的に虫体を摘出した.1例は回虫で,胃体部大彎で観察され,内視鏡的に摘出した.胃内で回虫を観察することはまれである.From 1973 to 1985, 7 cases of parasites were experienced in our department. In 6 cases of anisakiasis, the worms caused inflammation and erosion of the greater curvature of body of the stomach. All patients had eaten Mackerel. Gastric anisakiasis were frequently encountered in November. In all cases, the worms were removed by endoscopy. In 1 case of ascariasis, the worm was observed in the greater curvature of body of the stomach and was removed by endoscopy. It is rare that the worm of ascariasis is observed in the stomach