ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC RESECTION OF A RARE GASTRIC SUBMUCOSAL TUMOR (FACING A DIFFICULT SITUATION)

ENDOSCOPIC RESECTION OF A RARE GASTRIC SUBMUCOSAL TUMOR (FACING A DIFFICULT SITUATION)

Video Transcription

Video Summary

The video summarizes a case of a 17-year-old female patient with persistent abdominal pain. A fundal submucosal tumor was detected during gastroscopy. EUS showed a hypoechoic tumor arising from the submucosa. EUS FNA suggested lipoma, but the endoscopic picture did not match. The patient underwent endoscopic resection, which involved circular incision and dissection around the lesion, leading to a complete perforation. The lesion was excised, and the defect was closed using an indoloop and clips. Histopathology confirmed plexiform fibromyxoma, a rare mesenchymal tumor. The tumor is benign, and surgery is the main treatment option, but more conservative approaches like endoscopic resection may be suitable.

Asset Subtitle

Honorable Mention

Keywords

abdominal pain

fundal submucosal tumor

EUS

endoscopic resection

plexiform fibromyxoma