Accessory spleen originating from the intrinsic muscularis of the stomach misdiagnosed as gastrointestinal stromal tumor: a case report
| Autor: | Zhan-Xiong Xue, Yu-Hui Zhou, Jinwei Zhong, Jing Zhang, Mengsi Ye, Guang-Rong Lu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
gastroscopy
Adult Male Pathology medicine.medical_specialty Medicine (General) Gastrointestinal Stromal Tumors Case Report Endoscopic ultrasonography Accessory spleen Biochemistry gastrointestinal stromal tumor gastric body submucosal lesion 03 medical and health sciences 0302 clinical medicine R5-920 Stomach Neoplasms medicine Humans Diagnostic Errors Stromal tumor ectopic splenic tissue endoscopic ultrasonography Ectopic splenic tissue business.industry Stomach Biochemistry (medical) Cell Biology General Medicine medicine.disease Treatment Outcome medicine.anatomical_structure Gastric Mucosa 030220 oncology & carcinogenesis Upper abdominal pain 030211 gastroenterology & hepatology business Spleen |
| Zdroj: | Journal of International Medical Research, Vol 48 (2020) The Journal of International Medical Research |
| ISSN: | 1473-2300 |
| Popis: | A 34-year-old man presented to our hospital with a 2-month history of repeated dull upper abdominal pain. Gastroscopy and endoscopic ultrasonography indicated a hemispherical mass at the junction of the greater curvature and the gastric fundus, with hypoechogenicity originating from the intrinsic muscular layer. He was diagnosed with a gastric body submucosal lesion and gastrointestinal stromal tumor, and underwent endoscopic full-thickness resection. However, postoperative pathological examination of the mass unexpectedly revealed heterotopic spleen tissue (accessory spleen). Intragastric ectopic spleen tissue originating from the intrinsic muscular layer of the stomach is a rare clinical condition, with no specific clinical symptoms. This finding is of great clinical significance for the identification of gastric submucosal tumors. |
| Databáze: | OpenAIRE |
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