Rationale:A solitary Peutz–Jeghers-type polyp is a hamartomatous polyp which without either mucocutaneous pigmentation or a family history of Peutz–Jeghers syndrome (PJS). It can occur in all of the gastrointestinal tract, but it is extremely rare in the stomach.Patient concerns:A 53-year-old man was admitted to the local hospital with left upper abdominal pain lasting 2 weeks. A gastroscopy showed a giant and extensive bulging lesion on the greater curvature and posterior and anterior walls of the gastric antrum, involving three-quarters of the gastric wall. Endoscopic ultrasonography showed a muscularis mucosa lesion.Diagnoses:A solitary Peutz–Jeghers-type polyp in the antrum of stomach.Interventions:The patient underwent an endoscopic submucosal dissection (ESD).Outcomes:The patient recovered quickly, without any complications.Lessons:This is the second largest gastric solitary Peutz–Jeghers-polyp reported until now, and the largest gastric solitary Peutz–Jeghers type-polyp treated by endoscope.
In a certain frequency range, gas is an effective absorber and scatterer of sound, which changes the compressibility of water, and then changes the speed and frequency of sound. Gas continues rising, deforming, and dissolving. The same bubble of natural gas has different radii at different depths. By analyzing these changes, the resonance frequency of gas bubble, and its impacts on sound wave, characteristics of the influences of gas at different depths on the incident sound wave can be obtained. The main sound features of gas are relevant to the gas size, gas content, velocity, attenuation, resonance frequency, the scattering cross-section, and so forth. Sound models with hydrate and free gas in the water and sediment are established. Through the practical application to actual data, the sound characteristics yielded when the gas (or gas hydrate dissociation) escaped the water of seismic data are very clear.
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