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How to evaluate a gastric submucosal tumour in a patient with haematemesis?
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  1. J Boujaoude1,
  2. B Abboud2,
  3. G Abadjian3
  1. 1Department of Gastroenterology, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon
  2. 2Department of General Surgery, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon
  3. 3Department of Pathology, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon
  1. Correspondence to:
    Professor Joseph Boujaoude
    Department of Gastroenterology, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut 961, Lebanon; jboujhotmail.com

http://dx.doi.org/10.1136/gut.2004.054874

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    Clinical presentation

    A 57 year old woman was admitted with severe upper gastrointestinal bleeding. She presented with haematemesis and melena. On examination, she was shocked and had a haemoglobin level of 8 g/l. Following transfusion and resuscitation, an emergency upper gastrointestinal endoscopy showed a submucosal lesion of 15 mm in diameter with mucosal ulceration in the fundus of the stomach (fig 1).

    Figure 1
    Figure 1

     Upper gastrointestinal endoscopy.

    Question

    Endoscopic ultrasound was performed (fig 2). What does it show? The patient underwent partial gastrectomy. The resection margins were free of lesion and no lymph node metastasis was found. What is the differential diagnosis?

    Figure 2
    Figure 2

     Endoscopic ultrasound.

    See page 697 for answer

    This case is submitted by:

    Footnotes

    • Robin Spiller, editor

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