A case report of diffuse submucosal cysts of the stomach with gastric ulcer

Yasushi Sato*, Hirohito Muramatu, Youko Sumiyoshi, Tutomu Sato, Kageaki Kuribayashi, Yasuhiro Nagaoka, Yoshimi Sato*, Junki Fukaura, Atsushi Nobuoka, Tetsuji Takayama, Yoshiro Niitsu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

A 74-year old male with a chief compliant of epigastralgia was admitted to our hospital for further examination. The x-ray and endoscopic examination of the stomach reveled gastric ulcer of the gastric angle and submucosal tumor (SMT) in the gastric antrum. Endoscopic ultrasonography (EUS) of the SMT showed thickening of the third layer in which well-difined, round and anechoic areas were gathered. They were thought to be cystic lesions. The image of EUS was identified by the endoscopic mucosal resection (EMR) taken from the SMT, which microscopically showed many pyloric glands with cystic dilatation in the submucosa and many smooth muscle bundles around cysts. Furthermore, EUS in the gastric body and the cardia which were free of swelling folds reveled cysts sporadically arising from the 3rd layer. The diagnosis was made based on the findings from EUS and EMR. Thus, EUS and EMR are thought to be very useful for the diagnosis of the diffuse submucosal cysts of the stomach.

Original languageEnglish
Pages (from-to)1076-1077
Number of pages2
JournalGastroenterological Endoscopy
Volume42
Issue number6
StatePublished - 2000

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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