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Endoscopy 2007; 39: E154
DOI: 10.1055/s-2006-925190
Unusual cases and technical notes

© Georg Thieme Verlag KG Stuttgart · New York

Acute gastric ulcer associated with gamma knife treatment (conformal stereotactic radiotherapy) of recurrent hepatocellular carcinoma

C.  Y.  Chang1 , C.  H.  Tu1 , T.  S.  Chiang1 , H. P.  Wang2
  • 1Department of Internal Medicine, E-DA Hospital, Kaohsiung, Taiwan
  • 2Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
Weitere Informationen

H. P. WangM. D. 

Department of Emergency Medicine

National Taiwan University Hospital
No. 7 Chung-Shan South Road
Taipei
Taiwan

Fax: +886-2-23947899

eMail: whp@ha.mc.ntu.edu.tw

Publikationsverlauf

Publikationsdatum:
23. Juli 2007 (online)

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Inhaltsübersicht

    Endoscopy_UCTN_Code_CCL_1AB_2AD_3AC

    Zoom Image
    Zoom Image

    Figure 1 A 73-year-old man received one course of gamma knife radiotherapy (conformal stereotactic radiotherapy) for recurrent hepatocellular carcinoma, with a total dose of 45 Gy given within 1 month. Three days after finishing radiotherapy, he developed tarry stools. At esophagogastroduodenoscopy, he was found to have a large gastric ulcer on the lesser curvature and the anterior wall of the antrum, which had an irregular shape and margins (a) and several exposed vessels (b).

    Zoom Image

    Figure 2 Abdominal computed tomography showed that there was a close anatomic relationship between the gastric antrum (arrows) and the hepatocellular carcinoma in the residual left hepatic lobe (arrowheads).

    H. P. WangM. D. 

    Department of Emergency Medicine

    National Taiwan University Hospital
    No. 7 Chung-Shan South Road
    Taipei
    Taiwan

    Fax: +886-2-23947899

    eMail: whp@ha.mc.ntu.edu.tw

    H. P. WangM. D. 

    Department of Emergency Medicine

    National Taiwan University Hospital
    No. 7 Chung-Shan South Road
    Taipei
    Taiwan

    Fax: +886-2-23947899

    eMail: whp@ha.mc.ntu.edu.tw

       Lizenzen und Reprints
    Zoom Image
    Zoom Image

    Figure 1 A 73-year-old man received one course of gamma knife radiotherapy (conformal stereotactic radiotherapy) for recurrent hepatocellular carcinoma, with a total dose of 45 Gy given within 1 month. Three days after finishing radiotherapy, he developed tarry stools. At esophagogastroduodenoscopy, he was found to have a large gastric ulcer on the lesser curvature and the anterior wall of the antrum, which had an irregular shape and margins (a) and several exposed vessels (b).

    Zoom Image

    Figure 2 Abdominal computed tomography showed that there was a close anatomic relationship between the gastric antrum (arrows) and the hepatocellular carcinoma in the residual left hepatic lobe (arrowheads).