Year 2024 / Volume 116 / Number 10
Letter
Upper abdominal pain in a young female treated by endoscopic submucosal dissection

571-572

DOI: 10.17235/reed.2024.10375/2024

Qianqian Li, Weiwei Chen, Lei Chen, Zhen Zhu,

Abstract
A previously healthy 39-year-old woman was hospitalized with upper abdominal pain for 1-month duration. A semipedunculated protrusion with smooth surface was found at the gastric angle measuring 2.0 × 2.5-cm by gastroscopy. Endoscopic ultrasound (EUS) showed a hypoechoic mass originated from the mucosal layer. Abdominal computed tomography (CT) revealed a circular pedunculated and slightly low-density mass with mild enhancement in the stomach cavity. Endoscopic submucosal dissection (ESD) was performed. Postoperative histopathology examination revealed the tumor was composed of proliferated spindle cells with eosinophil infiltration which were around small blood vessels and mucosal glands arranged in an “onion-skin” appearance. Immunohistochemical analysis of the spindle cells showed CD34 was positive and CD117, S100, DOG-1, SMA, Desmin were negative. The patient was diagnosed as gastric inflammatory fibroid polyp (IFP) and no symptoms was observed in 12 months follow-up.
Share Button
New comment
Comments
No comments for this article
References
1.VANEK J. Gastric submucosal granuloma with eosinophilic infiltration. Am J Pathol. 1949;25(3):397-411. PMID: 18127133
2.HELWIG EB, RANIER A. Inflammatory fibroid polyps of the stomach. Surg Gynecol Obstet. 1953;96(3):335-67. PMID: 13038651
3.Watahiki Y, Hikichi T, Watanabe K, et al. A case of inflammatory fibroid polyp of the stomach with an "erect penis like appearance" successfully removed by endoscopic submucosal dissection. Clin J Gastroenterol. 2019;12(3):279-284. DOI: 10.1007/s12328-019-00935-5.
4.Nagao S, Tsuji Y, Sakaguchi Y, et al. Inflammatory fibroid polyp mimicking an early gastric cancer. Gastrointest Endosc. 2020;92(1):217-218. DOI: 10.1016/j.gie.2020.02.007
5.Dias E, Marques M, Santos-Antunes J, et al. The role of endoscopic submucosal dissection in the management of gastric inflammatory fibroid polyps: a single-center experience. Rev Esp Enferm Dig. 2022;114(10):592-598. DOI: 10.17235/reed.2021.8347/2021
Related articles

Letter

A case of achalasia associated with early esophageal cancer

DOI: 10.17235/reed.2024.10177/2023

Letter

An early-stage primary signet ring cell carcinoma of the colon

DOI: 10.17235/reed.2023.10016/2023

Letter

An uncommon cause of intestinal obstruction: Vanek’s tumor

DOI: 10.17235/reed.2023.9914/2023

Letter

An unusual cause of abdominal pain in an older female

DOI: 10.17235/reed.2023.9898/2023

Digestive Diseases Image

Sustained silence of a small signet ring cell carcinoma

DOI: 10.17235/reed.2023.9891/2023

Letter

Pseudo-submucosal tumor in the colon: seeing is believing

DOI: 10.17235/reed.2023.9773/2023

Digestive Diseases Image

Endoscopic submucosal dissection of an anorectal Condyloma acuminatum

DOI: 10.17235/reed.2023.9622/2023

Letter

Isolated Jejunal Crohn's Disease: a challenging diagnosis

DOI: 10.17235/reed.2022.9423/2022

Letter

Median arcuate ligament syndrome: a rare cause of abdominal pain

DOI: 10.17235/reed.2023.9404/2022

Digestive Diseases Image

A surprising white thread on a terminal ileoscopy

DOI: 10.17235/reed.2022.9311/2022

Letter

Successful endoscopic removal of a giant duodenal bulb mass

DOI: 10.17235/reed.2022.8595/2022

Letter

Endoscopic full-thickness resection of a gastric schwannoma

DOI: 10.17235/reed.2021.8385/2021

Letter

Subacute distal ileitis in a healthy young adult

DOI: 10.17235/reed.2021.7831/2021

Digestive Diseases Image

Celiac trunk segmental arterial mediolysis: a rare cause of arteriopathy

DOI: 10.17235/reed.2020.7143/2020

Editorial

Colorectal endoscopic submucosal dissection is here to stay

DOI: 10.17235/reed.2020.6960/2020

Letter

Chronic abdominal pain due to mesenteric schwannoma

DOI: 10.17235/reed.2020.6876/2020

Digestive Diseases Image

Endoscopic submucosal dissection of colonic anisakiasis

DOI: 10.17235/reed.2020.6748/2019

Digestive Diseases Image

An unusual association: median arcuate ligament syndrome and nutcracker syndrome

DOI: 10.17235/reed.2019.5997/2018

Digestive Diseases Image

A rare mass in the duodenal bulb: Brunner’s glands cystadenoma

DOI: 10.17235/reed.2018.5344/2017

Letter to the Editor

Endoscopic full-thickness resection for a gastric angioleiomyoma

DOI: 10.17235/reed.2017.4568/2016

Letter to the Editor

Ball valve syndrome caused by a giant gastric Vanek’s tumor

DOI: 10.17235/reed.2017.4526/2016

Case Report

Cannabis intake and intussusception: an accidental association?

DOI: 10.17235/reed.2016.4288/2016

Letter to the Editor

An unusual etiology of abdominal pain in children

DOI: 10.17235/reed.2016.4168/2015

Letter to the Editor

Gastric neuroendocrine tumor presenting with gastrointestinal bleeding

DOI: 10.17235/reed.2015.3998/2015

Letter to the Editor

Endoscopic submucosal dissection for a gastric fibrolipoma

DOI: 10.17235/reed.2015.3982/2015

Letter to the Editor

Unusual course of epiploic appendicitis

DOI: 10.17235/reed.2015.3796/2015

Citation tools
Li Q, Chen W, Chen L, Zhu Z. Upper abdominal pain in a young female treated by endoscopic submucosal dissection. 10375/2024


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 549 visits.
This article has been downloaded 18 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 29/02/2024

Accepted: 05/03/2024

Online First: 12/03/2024

Published: 09/10/2024

Article Online First time: 12 days

Article editing time: 223 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology