Endoscopic mucosal resection of a bleeding gastric carcinoid in a resource-limited setting: a case report

Gastric carcinoids (GCDs) are rare neuroendocrine tumors that can occasionally present with upper gastrointestinal bleeding. We report a case of a 60-year-old male who presented with hematemesis due to a gastric carcinoid tumor. Emergency gastroscopy identified a bleeding lesion in the lesser curvature, successfully managed with adrenaline injection. Endoscopic ultrasound confirmed a mucosal-confined lesion, and endoscopic mucosal resection (EMR) was performed. Histopathology confirmed a well-differentiated neuroendocrine tumor with negative margins. The patient remained stable post-procedure and was discharged with a planned follow-up. This case highlights the role of EMR as a minimally invasive and effective therapeutic option for bleeding gastric carcinoids, particularly in resource-limited settings. Early recognition and intervention can optimize patient outcomes while avoiding unnecessary surgical procedures.