Li P, Tang GM, Li PL, Zhang C, Wang WQ. Endoscopic resection of a giant irregular leiomyoma in fundus and cardia: A case report. World J Gastrointest Endosc 2024; 16(12): 678-685 [DOI: 10.4253/wjge.v16.i12.678]
Corresponding Author of This Article
Wei-Qiang Wang, MD, Chief Doctor, Department of Gastroenterology, Central Hospital Affiliated to Chongqing University of Technology, No. 1 Gonglian 1st Village, Lijiatuo Street, Chongqing 400054, China. wangweiqiangdoctor@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Dec 16, 2024; 16(12): 678-685 Published online Dec 16, 2024. doi: 10.4253/wjge.v16.i12.678
Endoscopic resection of a giant irregular leiomyoma in fundus and cardia: A case report
Peng Li, Guang-Ming Tang, Pei-Lin Li, Chun Zhang, Wei-Qiang Wang
Peng Li, Guang-Ming Tang, Wei-Qiang Wang, Department of Gastroenterology, Central Hospital Affiliated to Chongqing University of Technology, Chongqing 400054, China
Pei-Lin Li, Department of Hepatological Surgery, Central Hospital Affiliated to Chongqing University of Technology, Chongqing 400054, China
Chun Zhang, Department of Pathology, Central Hospital Affiliated to Chongqing University of Technology, Chongqing 400054, China
Author contributions: Li P, Tang GM, and Wang WQ contributed to the endoscopic resection and manuscript writing and editing; Li PL contributed to clinical data analysis; Zhang C contributed to provision of pathological data; all authors have read and approved the final manuscript.
Informed consent statement: The patient provided informed written consent prior to be treated.
Conflict-of-interest statement: There was no any conflict-of-interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei-Qiang Wang, MD, Chief Doctor, Department of Gastroenterology, Central Hospital Affiliated to Chongqing University of Technology, No. 1 Gonglian 1st Village, Lijiatuo Street, Chongqing 400054, China. wangweiqiangdoctor@163.com
Received: July 1, 2024 Revised: September 26, 2024 Accepted: October 10, 2024 Published online: December 16, 2024 Processing time: 163 Days and 16.7 Hours
Abstract
BACKGROUND
Endoscopic resection of giant gastric leiomyomas, particularly in the fundus and cardia regions, is infrequently documented and presents a significant challenge for endoscopic surgery.
CASE SUMMARY
Herein, a case of a 59-year-old woman with a giant gastric leiomyoma was reported. The patient presented to the department of hepatological surgery with a complaint of right upper abdominal pain for one month and worsening for one week. The patient was diagnosed as gastric submucosal tumor (SMT), gallstone, and cholecystitis combined with computed tomography and gastroendoscopy prior to operation. Upon admission, following a multi-disciplinary treatment discussion, it was determined that the patient would undergo a laparoscopic cholecystectomy and endoscopic resection of gastric SMT. It took 3 hours to completely resect the lesion by Endoscopic submucosal excavation and endoscopic full-thickness resection, and about 3 hours to suture the wound and take out the lesion. The lesion, ginger-shaped and measuring 8 cm × 5 cm, led to transient peritonitis post-surgery. With no cardiac complications, the patient was discharged one week after surgery.
CONCLUSION
Endoscopic resection of a giant leiomyoma in the cardiac fundus is feasible and suitable for skilled endoscopists.
Core Tip: Endoscopic resection of giant gastric leiomyomas, particularly in the fundus and cardia regions, is infrequently documented. We report a rare case of giant gastric leiomyoma located in the fundus and cardia. The lesion was completely resected by Endoscopic submucosal excavation and Endoscopic full-thickness resection. The lesion, ginger-shaped and measuring 8 cm × 5 cm, led to transient peritonitis post-surgery. With no cardiac complications, the patient was discharged one week after surgery. Endoscopic resection of a giant leiomyoma in the cardiac fundus is feasible and does not compromise post-operative cardiac function.
