Gastric splenosis mimicking a gastrointestinal stromal tumor:A case report  

作　　者：Claudio Isopi Giulia Vitali Federica Pieri Leonardo Solaini Giorgio Ercolani 

机构地区：[1]Department of Surgery,Morgagni-Pierantoni Hospital,Forli 47121,Italy [2]Pathology Unit,Morgagni-Pierantoni Hospital,Forli 47121,Italy [3]Department of Medical and Surgical Sciences,University of Bologna,Bologna 47100,Italy

出　　处：《World Journal of Gastrointestinal Surgery》2020年第10期435-441,共7页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND Mass lesions located in the wall of the stomach(and also of the bowel)are referred to as“intramural.”The differential diagnosis of such lesions can be challenging in some cases.As such,it may occur that an inconclusive fine needle aspiration(FNA)result give way to an unexpected diagnosis upon final surgical pathology.Herein,we present a case of an intramural gastric nodule mimicking a gastric gastrointestinal stromal tumor(GIST).CASE SUMMARY A 47-year-old Caucasian woman,who had undergone splenectomy for trauma at the age of 16,underwent gastroscopy for long-lasting epigastric pain and dyspepsia.It revealed a 15 mm submucosal nodule bulging into the gastric lumen with smooth margins and normal overlying mucosa.A thoraco-abdominal computed tomography scan showed in the gastric fundus a rounded mass(30 mm in diameter)with an exophytic growth and intense enhancement after administration of intravenous contrast.Endoscopic ultrasound scan showed a hypoechoic nodule,and fine needle FNA was inconclusive.Gastric GIST was considered the most probable diagnosis,and surgical resection was proposed due to symptoms.A laparoscopic gastric wedge resection was performed.The postoperative course was uneventful,and the patient was discharged on the seventh postoperative day.The final pathology report described a rounded encapsulated accumulation of lymphoid tissue of about 4 cm in diameter consistent with spleen parenchyma implanted during the previous splenectomy.CONCLUSION Splenosis is a rare condition that should always be considered as a possible diagnosis in splenectomized patients who present with an intramural gastric nodule.

关 键 词：SPLENOSIS Intramural gastric mass Gastric nodule Laparoscopic gastric surgery Gastrointestinal stromal tumor Case report 

分 类 号：R735[医药卫生—肿瘤]