An Atypical Gastric Subepithelial Lesion in a Young Female Patient

Jung Bin Yoon; Gwang Ha Kim

doi:10.4166/kjg.2017.69.5.325

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Yoon and Kim: An Atypical Gastric Subepithelial Lesion in a Young Female Patient

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The Korean Journal of Gastroenterology 2017; 69(5): 325-327.

Published online: 25 May 2017

DOI: https://doi.org/10.4166/kjg.2017.69.5.325

An Atypical Gastric Subepithelial Lesion in a Young Female Patient

Jung Bin Yoon^1,², Gwang Ha Kim^1,²

¹Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.

²Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.

Correspondence to: Gwang Ha Kim, Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea. Tel: +82-51-240-7869, Fax: +82-51-244-8180, doc0224@pusan.ac.kr

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figures and Tables

Fig. 1

Initial endoscopy and endosonography. (A) Endoscopy shows a subepithelial lesion with a small, deep ulceration in its center at the posterior wall of the upper body of the stomach. (B) Endosonography reveals that the subepithelial lesion is connected to enlarged perigastric lymph nodes with central hyperechoic area.

Fig. 2

Initial abdominal computed tomography. Enlargement of perigastric lymph nodes with center hypodense area are observed and these lymph nodes are connected to the gastric wall.

Fig. 3

Microscopic findings of endoscopic biopsy. Chronic caseous granulomatous inflammation (arrow) is seen in the submucosa (H&E stain, ×200).

Fig. 4

Follow-up endoscopy and computed tomography after anti-tuberculosis medication. (A) On follow-up endoscopy, the previous subepithelial lesion markedly decreases. (B) On follow-up computed tomography, the enlarged perigastric lymph nodes nearly subside.

Notes

^{Financial support} None.

^{Conflict of interest} None.

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