Korean J Med.  2012 Feb;82(2):208-211.

Subepithelial Lesion of the Gastric Fundus Caused by an Accessory Spleen

  • 1Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea. kcdcejhw@kangwon.ac.kr


When a submucosal lesion is discovered at the gastric fundus by gastroscopy, it may be difficult to distinguish a gastric external compression from a true submucosal tumor (SMT). The stomach is a hollow organ centrally placed in the upper abdomen, and it is possible to have a protruding external compression at the fundus, particularly from an enlarged spleen or splenic artery. An accessory spleen or splenosis is not a very unusual finding but may rarely produce such external compression at the gastric fundus. We experienced a case of an accessory spleen mimicking a gastric SMT diagnosed through a gastroscopy after a splenectomy.


Accessory spleen; Gastric submucosal tumor
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