Case Report
Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. May 21, 2008; 14(19): 3092-3094
Published online May 21, 2008. doi: 10.3748/wjg.14.3092
Hepatic cyst misdiagnosed as a gastric submucosal tumor: A case report
Joong-Min Park, Jin Kim, Ho-Il Kim, Chong-Suk Kim
Joong-Min Park, Jin Kim, Ho-Il Kim, Chong-Suk Kim, Department of Surgery, Korea University College of Medicine, Korea University Anam Hospital, 126-1 Anam-dong 5ga, Sungbuk-gu, Seoul 136-705, South Korea
Author contributions: Park JM, Kim J, Kim HI and Kim CS contributed equally to this work.
Correspondence to: Chong-Suk Kim, Department of Surgery, Korea University Anam Hospital, 126-1 Anam-dong 5ga, Sungbuk-gu, Seoul 136-705, South Korea. chongsuk@korea.ac.kr
Telephone: +82-2-9205866
Fax: +82-2-9281631
Received: February 17, 2008
Revised: April 17, 2008
Published online: May 21, 2008
Abstract

We describe here a case of 51-year-old woman with a symptomatic hepatic cyst that was misdiagnosed as a gastric submucosal tumor (SMT) with endoscopic ultrasound (EUS) and CT scan. The patient presented with an epigastric pain for two months. On endoscopy, a submucosal tumor was found on the cardia of the stomach. Based on EUS and abdominal CT scan, the lesion was diagnosed as a gastric duplication cyst or a gastrointestinal stromal tumor (GIST). The operative plan was laparoscopic wedge resection for the GIST of the gastric cardia. A cystic mass arising from the left lateral segment of the liver was found at the laparoscopic examination. There was no abnormal finding at the gastric cardia. She was treated by laparoscopic hepatic wedge resection including the hepatic cyst using an endoscopic linear stapler.

Keywords: Hepatic cyst; Submucosal tumor; Stomach