Laparoscopic antral resection with Billroth I reconstruction for a gastric glomus tumor
| Autor: | Fouad Boulos, Mohammad Khalife, Khaled Rida, Bassem Y. Safadi, Farah Khalifeh, Hamzeh M. Halawani |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Endoscopic ultrasound
medicine.medical_specialty Abdominal pain medicine.medical_treatment Perforation (oil well) Gastric Glomus Tumor Gastroenterology Article GIST gastrointestinal stromal tumor EU emergency unit Internal medicine Diagnosis parasitic diseases medicine Billroth I Antrum AFIP Armed Forces Institute of Pathology medicine.diagnostic_test business.industry Stomach fungi GI gastrointestinal Glomus Tumor medicine.disease digestive system diseases CT computed tomography Glomus tumor medicine.anatomical_structure AUBMC American University of Beirut Medical Center population characteristics SMA smooth muscle actin Laparoscopy Surgery KIT proto-oncogene c-Kit or tyrosine-protein kinase Kit or CD117 medicine.symptom business human activities EUS endoscopic ultrasound |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2014.10.009 |
| Popis: | Highlights • A 33-year-old woman presented with intermittent dull upper abdominal pain for two days. Abdominal computed tomography (CT) was performed showing a hyperdense mass in the antrum. Endoscopy and endoscopic ultrasound revealed a submucosal antral mass along the greater curvature, suspicious for a gastrointestinal (GI) stromal tumor (GIST), a laparoscopic antrectomy with Billroth I reconstruction was done. • Pathological examination revealed that the mass was a gastric glomus tumor. Gastric glomus tumors are fairly uncommon and mostly benign, with an estimated incidence of 1% of all GI soft tissue tumors. • This case may aid in improving the recognition and diagnosis of this rare entity and in differentiating it from more common GISTs and gastric carcinoids. • A built up knowledge between physicians is extremely necessary to avoid common confusion in taking the right medical approach. INTRODUCTION Gastric glomus tumors are fairly uncommon and mostly benign, with an estimated incidence of 1% of all GI soft tissue tumors. The most common GI site of involvement is the stomach, and in particular the antrum. Some cases have been discovered incidentally, but most are symptomatic presenting with GI bleeding, perforation or abdominal pain. Glomus tumors are submucosal tumors and hence mistaken with the more frequent gastrointestinal stromal tumors. PRESENTATION OF CASE A 33-year-old woman presented with intermittent dull upper abdominal pain for two days. Abdominal computed tomography (CT) was performed showing a hyperdense mass in the antrum. Endoscopy and endoscopic ultrasound revealed a submucosal antral mass along the greater curvature, suspicious for a gastrointestinal (GI) stromal tumor (GIST), a laparoscopic antrectomy with Billroth I reconstruction was done. Pathological examination revealed that the mass was a gastric glomus tumor. DISCUSSION The presented case report met all the usual standard criteria commonly used to identify glomus tumors, the uniqueness of the case lies in the occurrence of the glomus tumor in the stomach, first suspected as GIST, then confirmed as a gastric glomus tumor. The vast majority of glomus tumors of the GI tract have been described in the gastric antrum. They occur in adults of all ages with a significant female predominance (78%). CONCLUSION This case may aid in improving the recognition and diagnosis of this rare entity and in differentiating it from more common GISTs and gastric carcinoids. A built up knowledge between physicians is extremely necessary to avoid common confusion in taking the right medical approach. |
| Databáze: | OpenAIRE |
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