Vizcayno,Ericka
Patient: 50-year-old Black woman
Room Number:
Date: October 4, 2024
HISTORY
1. Patient took large doses of salicylates for arthritic symptoms.
2. Experienced upper abdominal bloating and distention after eating small amounts
of food.
3. Symptoms unrelated to the type of food consumed (no intolerance to fatty or fried
foods).
4. Symptoms occurred shortly after eating.
5. No dysphagia
6. No nausea or vomiting.
7. No hematemesis
8. No visible melena
OPERATIVE REPORT
PREOPERATIVE DIAGNOSES
1. Postprandial upper gastric distress
2. Upper abdominal bloating dispensation
POSTOPERATIVE DIAGNOSES
1. Benign Gastric Tumor
2. Leiomyoma
3. Solitary
4. Abnomas
5. Multiple polyposis
6. Narroma
7. Heterotopic pancreas
OPERATION
1. X-ray
2. Remove the tumor
PROCEDURE
X-ray revealed a normal cholecystogram. The x-rays of the upper gastrointestinal tract
revealed a rounded radiolucent filling defect on the greater curvature of the prepyloric
Vizcayno,Ericka
antral portion of the stomach. She was admitted to the hospital for further study.
Physical examination: The PE was generally unremarkable except an obese,
protuberant abdomen. There were no abdominal masses, tenderness, or organomegaly.
Laboratory studies revealed a normal hemogram and urinalysis, normal electrolytes,
normal SMA-12 chemical profile. Stool showed traces of occult blood.
Histologic-stimulated gastric analysis revealed fasting HCL 40 mil equivalence per liter;
15 minutes, 75 mil equivalents per liter: 30 minutes, 70 mil equivalence per liter: 45
minutes, 55 mil equivalents per liter; 60 minutes, 53 mill equivalence per litter. Gastric
cytology revealed no tumor cells. Gastroscopy was performed and supported the clinical
impression, which was that of a hard mass on the greater curvature aspect of the
stomach. It was decided to operate. Preoperative Discussion: Benign tumors of the
stomach are uncommon. They represent 10 to 15 % neoplasms of the stomach. Men
and women appear to be equally affected, with peak incidence between 50 and 60
years of age. Pathologically, the following types of tumors are observed: Solitary and
multiple polyps, adenomas, multiple polyposis, leiomyoma, neuroma. A displaced island
of heterotopic pancreas also may present as a tumor. Pancreatic rests are most
commonly located along the greater curvature of the antrum. A definite diagnosis
cannot be made by X-ray examination alone because these small filling defects may
resemble those produced by other benign tumors or even by an early carcinoma. The
clinical behavior of benign gastric neoplasms depends on their size, location, their
tendency to ulcerate, bleed, obstruct, or undergo change. Vague epigastric discomfort
may occur in some patients, whereas others may experience ulcer-like symptoms or the
syndrome of pyloric obstruction if the growth is near the pylorus. In this case, pressure
spot films of the suspicious area noted on fluoroscopy clearly demonstrated the tumor.
Conclusion: It was decided to operate and remove the tumor.
