Splenic Cyst Mimicking Gastric Subepithelial Tumor Diagnosed by Endoscopic Ultrasonography

Sa, Young Kyoung; Kim, Jin Il; Cho, Hyung Jun; Lee, Seong Jin; Kim, Hyun Jin; Jeon, Joon Han; An, Ji Won; Park, Soo Heon

doi:2012.12.2.116

Korean J Helicobacter Up Gastrointest Res > Volume 12(2); 2012 > Article

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2012;12(2):116-119.
DOI: https://doi.org/10.7704/kjhugr.2012.12.2.116 Published online June 10, 2012.

Splenic Cyst Mimicking Gastric Subepithelial Tumor Diagnosed by Endoscopic Ultrasonography

Young Kyoung Sa, Jin Il Kim, Hyung Jun Cho, Seong Jin Lee, Hyun Jin Kim, Joon Han Jeon, Ji Won An, Soo Heon Park

Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea. jikim@catholic.ac.kr

Abstract

Recent research reveal that the diagnosis of gastric extraluminal compressions mimicking subepithelial tumor is increasing in numbers as esophagogastroduodenoscopy becomes widespread. Endoscopic ultrasonography is a very useful tool for differentiating extraluminal compressions from subepithelial tumors. Gastric extraluminal compressions are due to compression by either normal adjacent organs or pathologic conditions. Pathologic conditions are mainly benign, but some requires operation according to its size. We report a case of a 24-year-old female, who underwent esophagogastroduodenoscopy and was misdiagnosed with gastric subepithelial tumor. Endoscopic ultrasonographic findings showed anechoic cyst outside the gastric wall, which revealed to be a splenic cyst.

Key Words: Splenic cyst; Endosonography; Subepithelial tumor; Extraluminal compression