Year 2023 / Volume 115 / Number 2
Digestive Diseases Image
An unusual cause of a protuberant lesion of the gastric antrum

87-88

DOI: 10.17235/reed.2022.8771/2022

Youhong Cao, Ping Ma, Zhenguo Qiao,

Abstract
A 58-year-old man presented to our hospital due to upper abdominal pain for 2 months. Gastroscopy showed a 1.5×1.5×1 cm3 protuberant lesion in the gastric antrum. Magnifying endoscopy with blue laser imaging showed roughly normal micro-surface and micro-vessel structure. Endoscopic ultrasonography showed the lesion originated from the muscularis propria, with low-density irregular cystic echo. Then the patient received treatment of gastrointestinal lesions with endoscopic submucosal dissection. During the operation, it could be seen that the lesion was mainly located in the submucosa, the local depth of which reached the muscularis mucosae. It was tan-white in color, with toughness and cystic tactile sensation. The operation went smoothly and his recovery was good. Pathological studies showed that pancreatic tissue was found in the lesion, which was composed of exocrine acini and ducts. Meanwhile, dilated cystic glands were found in the excised specimens. He was eventually diagnosed as ectopic pancreas in gastric antrum complicated with gastritis cystica profunda (GCP).
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References
1. Xu G, Peng C, Li X, et al. Endoscopic resection of gastritis cystica profunda: preliminary experience with 34 patients from a single center in China. Gastrointest Endosc 2015; 81(6): 1493-1498. DOI: 10.1016/j.gie.2014.11.017
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Cao Y, Ma P, Qiao Z. An unusual cause of a protuberant lesion of the gastric antrum . 8771/2022


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Publication history

Received: 04/03/2022

Accepted: 07/03/2022

Online First: 14/03/2022

Published: 07/02/2023

Article Online First time: 10 days

Article editing time: 340 days


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