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Endoscopic ultrasonography in the diagnosis and treatment of a gastric wall abscess

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Abstract

A gastric wall abscess is rare and it can reportedly appear similar to a submucosal tumor on endoscopy. Few reports have described endoscopic ultrasonographic findings for a gastric wall abscess. An 84-year-old man was admitted to our hospital for tarry stools. Esophagogastroduodenoscopy showed an elevated lesion similar to a submucosal tumor at the posterior wall of the stomach. Erosion and a white coat were observed on top of the lesion. Endoscopic ultrasonography showed an anechoic lesion connected to the proper muscular layer with a hyperechoic area in the center of the lesion. The lesion was diagnosed as a gastric wall abscess using endoscopic ultrasound-guided fine-needle aspiration and was treated with endoscopic ultrasound-guided drainage. The final diagnosis was a gastric wall abscess presenting as gastrointestinal hemorrhage. The patient was discharged with internal drainage stents. Computed tomography performed 3 months after discharge did not show recurrence of the abscess.

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Abbreviations

CT:

Computed tomography

EGD:

Esophagogastroduodenoscopy

EUS:

Endoscopic ultrasonography

FNA:

Fine-needle aspiration

SMT:

Submucosal tumor

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Acknowledgments

The authors thank the endoscopists and nurses who participated in treating this patient at their endoscopy center.

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Authors and Affiliations

  1. Department of Gastroenterology, Kyoto Second Red Cross Hospital, 355-5 Haruobi-cho, Kamigyo-ku, Kyoto, 602-8026, Japan

    Koichiro Mandai, Kana Amamiya, Koji Uno & Kenjiro Yasuda

Authors
  1. Koichiro Mandai
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  2. Kana Amamiya
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  3. Koji Uno
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  4. Kenjiro Yasuda
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Corresponding author

Correspondence to Koichiro Mandai.

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Human rights statements and informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions. Informed consent was obtained from the patient to be included in this report.

Conflict of interest

Koichiro Mandai, Kana Amamiya, Koji Uno, and Kenjiro Yasuda declare that they have no conflict of interest.

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Mandai, K., Amamiya, K., Uno, K. et al. Endoscopic ultrasonography in the diagnosis and treatment of a gastric wall abscess. J Med Ultrasonics 43, 119–123 (2016). https://doi.org/10.1007/s10396-015-0667-8

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  • DOI: https://doi.org/10.1007/s10396-015-0667-8

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