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Gastric submucosal lesion caused by an embedded fish bone: A case report
Jian Li1, Qiu-Qiu Wang1, Shuai Xue1
1Endoscopy Center, Minhang Hospital, Fudan University, Shanghai 201100, China.
World Journal of Clinical Cases
|February 7, 2022
Summary
A rare case of a gastric submucosal tumor (SMT) caused by an embedded fish bone was successfully resected using endoscopic full-thickness resection. This highlights the importance of considering foreign bodies in SMT diagnosis and management.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Submucosal tumors (SMTs) are lesions originating below the digestive tract's mucosal layer.
- Increased detection rates of SMTs due to advancements in endoscopy and endoscopic ultrasonography (EUS).
- Foreign body ingestion causing SMT-like presentation is uncommon.
Observation:
- A 47-year-old woman presented with a year of upper abdominal discomfort.
- EUS and CT scans diagnosed a gastric submucosal lesion caused by an embedded foreign body.
- Endoscopic full-thickness resection was chosen due to lesion size and potential complications.
Findings:
- A fish bone was identified as the foreign body within the gastric submucosal lesion.
- Successful complete resection of the lesion was achieved via endoscopic full-thickness resection.
- Endoscopic purse-string sutures were used to close the defect post-resection.
Implications:
- Emphasizes the need for comprehensive diagnostic approaches for SMTs, including considering foreign bodies.
- Demonstrates the efficacy of endoscopic full-thickness resection for managing rare SMTs caused by embedded foreign objects.
- Underscores the importance of skilled endoscopic intervention for successful treatment of complex submucosal lesions.
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