Intramural Gastric Abscess Caused by a Toothpick Presenting as a Subepithelial Tumor.
- Author:
Wang Guk OH
1
;
Mun Chul KIM
;
Hyun Ju YOON
;
Jae Woo PARK
;
Min A YANG
;
Cheon Beom LEE
;
Ji Woong KIM
;
Jin Woong CHO
Author Information
- Publication Type:Case Report
- Keywords: Subepithelial tumor; Gastric foreign body; Toothpick
- MeSH: Abscess*; Diagnosis; Endoscopy, Digestive System; Endosonography; Female; Foreign Bodies; Gastroenterology; Hand Strength; Humans; Lymph Nodes; Middle Aged; Surgical Instruments
- From:Clinical Endoscopy 2014;47(3):254-257
- CountryRepublic of Korea
- Language:English
- Abstract: In the present report, we describe an unusual case of an intramural gastric abscess caused by a foreign body, detected in the form of a subepithelial tumor. A 64-year-old woman was referred to our gastroenterology clinic for further evaluation of a gastric subepithelial tumor. The patient presented with a 1-month history of sustained dull epigastric pain. Esophagogastroduodenoscopy revealed an ill-demarcated, round, smooth, protruding lesion with a small central erosion on the great curvature of the proximal antrum. Endoscopic ultrasonography indicated the presence of an ovoid, heterogeneous, hypoechoic lesion with small echogenic foci located in the submucosa and muscularis propria layers. An abdominal computed tomography scan showed focal gastric wall thickening and regional lymph node enlargement. Endoscopic submucosal dissection was performed for definite diagnosis and management. Thus, we detected a toothpick and removed it using grasping forceps. The final diagnosis was an intramural gastric abscess caused by a toothpick.
