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2024 ; 16
(7
): 2351-2357
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gab.com Text
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English Wikipedia
Misdiagnosis of hemangioma of left triangular ligament of the liver as gastric
submucosal stromal tumor: Two case reports
#MMPMID39087111
Wang JJ
; Zhang FM
; Chen W
; Zhu HT
; Gui NL
; Li AQ
; Chen HT
World J Gastrointest Surg
2024[Jul]; 16
(7
): 2351-2357
PMID39087111
show ga
BACKGROUND: Extragastric lesions are typically not misdiagnosed as gastric
submucosal tumor (SMT). However, we encountered two rare cases where extrinsic
lesions were misdiagnosed as gastric SMTs. CASE SUMMARY: We describe two cases of
gastric SMT-like protrusions initially misdiagnosed as gastric SMTs by the
abdominal contrast-enhanced computed tomography (CT) and endoscopic ultrasound
(EUS). Based on the CT and EUS findings, the patients underwent gastroscopy;
however, no tumor was identified after incising the gastric wall. Subsequent
surgical exploration revealed no gastric lesions in both patients, but a mass was
found in the left triangular ligament of the liver. The patients underwent
laparoscopic tumor resection, and the postoperative diagnosis was hepatic
hemangiomas. CONCLUSION: During EUS procedures, scanning across different layers
and at varying degrees of gastric cavity distension, coupled with meticulous
image analysis, has the potential to mitigate the likelihood of such
misdiagnoses.