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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).
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?
See page 697 for answer
This case is submitted by:
Robin Spiller, editor