Subepithelial Lesion of the Gastric Fundus Caused by an Accessory Spleen.
- Author:
Myoung Ok PARK
1
;
Sung Won LEE
;
Hee Jung KIM
;
Dae Hee CHOI
;
Sung Chul PARK
;
Sung Joon LEE
;
Chang Don KANG
Author Information
1. Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea. kcdcejhw@kangwon.ac.kr
- Publication Type:Case Report
- Keywords:
Accessory spleen;
Gastric submucosal tumor
- MeSH:
Abdomen;
Gastric Fundus;
Gastroscopy;
Spleen;
Splenectomy;
Splenic Artery;
Splenomegaly;
Splenosis;
Stomach
- From:Korean Journal of Medicine
2012;82(2):208-211
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
When a submucosal lesion is discovered at the gastric fundus by gastroscopy, it may be difficult to distinguish a gastric external compression from a true submucosal tumor (SMT). The stomach is a hollow organ centrally placed in the upper abdomen, and it is possible to have a protruding external compression at the fundus, particularly from an enlarged spleen or splenic artery. An accessory spleen or splenosis is not a very unusual finding but may rarely produce such external compression at the gastric fundus. We experienced a case of an accessory spleen mimicking a gastric SMT diagnosed through a gastroscopy after a splenectomy.