Korean J Gastroenterol.  2017 May;69(5):325-327. 10.4166/kjg.2017.69.5.325.

An Atypical Gastric Subepithelial Lesion in a Young Female Patient

• Yoon JB
• Kim GH

• KMID: 2383393
• DOI: http://doi.org/10.4166/kjg.2017.69.5.325

Abstract

No abstract available.

MeSH Terms

Female*
Humans

Figure

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  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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