A Case of Gastritis Cystica Profunda Diagnosed and Treated by Endoscopic Polypectomy in an Unoperated Stomach

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2008;8(1):54-57.
Published online July 10, 2008.

위절제술의 과거력이 없는 환자에서 내시경적 용종절제술로 진단하고 치료한 심재성 낭성 위염 1예

정지민ㆍ심기남ㆍ송지현ㆍ강민정ㆍ김성은ㆍ정성애ㆍ문일환ㆍ유권ㆍ정규원

이화여자대학교 의학전문대학원, 의과학연구소

Abstract

Gastritis cystica profunda is usually characterized by hyperplasic and cystic dilatation of gastric gland with submucosal invasion. These lesions have been found mainly at the site of gastroenterostomy. Macroscopically, gastritis cystica profunda may present not only as a submucosal tumor or polyp, but also as a giant gastric mucosal fold. We experienced a case of gastritis cystica profunda that didn't involve any gastric surgery. A 28-year-old woman attended the hospital because of epigastric pain. Endoscopic examination revealed a pedunculated polyp approximately 2 cm in diameter in the highbody of the stomach. Biopsy specimens from the surface of the polyp revealed only chronic gastritis. She had no history of gastrectomy or gastroenterostomy. After polypectomy, microscopy demonstrated numerous, small-to-large submucosal cysts, and the overlying mucosa was thin, which was consistent with gastritis cystica profunda. We present a case of gastritis cystica profunda which was diagnosed and treated by endoscopic polypectomy. (The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2008;8:54-57)

Key Words: Gastritis cystica profunda, Polypectomy