Endoscopic resection of a giant irregular leiomyoma in fundus and cardia:A case report  

作　　者：Peng Li Guang-Ming Tang Pei-Lin Li Chun Zhang Wei-Qiang Wang 

机构地区：[1]Department of Gastroenterology,Central Hospital Affiliated to Chongqing University of Technology,Chongqing 400054,China [2]Department of Hepatological Surgery,Central Hospital Affiliated to Chongqing University of Technology,Chongqing 400054,China [3]Department of Pathology,Central Hospital Affiliated to Chongqing University of Technology,Chongqing 400054,China

出　　处：《World Journal of Gastrointestinal Endoscopy》2024年第12期678-685,共8页世界胃肠内镜杂志（英文）

摘　　要：BACKGROUND Endoscopic resection of giant gastric leiomyomas,particularly in the fundus and cardia regions,is infrequently documented and presents a significant challenge for endoscopic surgery.CASE SUMMARY Herein,a case of a 59-year-old woman with a giant gastric leiomyoma was reported.The patient presented to the department of hepatological surgery with a complaint of right upper abdominal pain for one month and worsening for one week.The patient was diagnosed as gastric submucosal tumor(SMT),gallstone,and cholecystitis combined with computed tomography and gastroendoscopy prior to operation.Upon admission,following a multi-disciplinary treatment discussion,it was determined that the patient would undergo a laparoscopic cholecystectomy and endoscopic resection of gastric SMT.It took 3 hours to completely resect the lesion by Endoscopic submucosal excavation and endoscopic fullthickness resection,and about 3 hours to suture the wound and take out the lesion.The lesion,ginger-shaped and measuring 8 cm×5 cm,led to transient peritonitis post-surgery.With no cardiac complications,the patient was discharged one week after surgery.CONCLUSION Endoscopic resection of a giant leiomyoma in the cardiac fundus is feasible and suitable for skilled endoscopists.

关 键 词：Gastric leiomyoma Endoscopic resection FUNDUS CARDIA GIANT Case report 

分 类 号：R735.31[医药卫生—肿瘤]