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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 Yoon1, 2, Gwang Ha Kim1, 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

Copyright © 2017. Korean Society of Gastroenterology

(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.

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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.

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Fig. 3

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

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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.

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Notes

Financial support None.

Conflict of interest None.

References

1. Akgun Y. Intestinal and peritoneal tuberculosis: changing trends over 10 years and a review of 80 patients. Can J Surg. 2005; 48:131–136.
2. Kruijshaar ME, Abubakar I. Increase in extrapulmonary tuberculosis in England and Wales 1999-2006. Thorax. 2009; 64:1090–1095.
3. Horvath KD, Whelan RL. Intestinal tuberculosis: return of an old disease. Am J Gastroenterol. 1998; 93:692–696.
4. Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res. 2004; 120:305–315.
5. Bandyopadhyay SK, Bandyopadhyay R, Chatterjee U. Isolated gastric tuberculosis presenting as haematemesis. J Postgrad Med. 2002; 48:72–73.
6. Chung JS, Cho YB, Heo WG, Jo DH, Jeong YH, Seo GS. Asymptomatic synchronous tuberculosis involving stomach and small bowel in immunocompetent patient. Korean J Gastroenterol. 2015; 66:345–349.
7. Talukdar R, Khanna S, Saikia N, Vij JC. Gastric tuberculosis presenting as linitis plastica: a case report and review of the literature. Eur J Gastroenterol Hepatol. 2006; 18:299–303.
8. Kim JH, Jeon YC, Kim TY, et al. A case of synchronous intestinal tuberculosis involving the stomach and colon. Korean J Gastroenterol. 2008; 52:320–324.
9. Quantrill SJ, Archer GJ, Hale RJ. Gastric tuberculosis presenting with massive hematemesis in association with acute myeloid leukemia. Am J Gastroenterol. 1996; 91:1259–1260.
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