Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 21, 2022; 10(3): 1099-1105
Published online Jan 21, 2022. doi: 10.12998/wjcc.v10.i3.1099
Gastric submucosal lesion caused by an embedded fish bone: A case report
Jian Li, Qiu-Qiu Wang, Shuai Xue, Yan-Yan Zhang, Qin-Yu Xu, Xiao-Hong Zhang, Li Feng
Jian Li, Qiu-Qiu Wang, Shuai Xue, Yan-Yan Zhang, Qin-Yu Xu, Xiao-Hong Zhang, Li Feng, Endoscopy Center, Minhang Hospital, Fudan University, Shanghai 201100, China
Author contributions: Feng L identified this case and organized the manuscript; Li J wrote the first draft of the manuscript; Li J, Wang QQ, Xue S, Zhang YY, and Xu QY helped to collect related clinical data on this case; Zhang XH contributed to manuscript revision; all authors have read and approved the submitted version and are accountable for all aspects of the work.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no 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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li Feng, MD, Academic Research, Chief Doctor, Professor, Endoscopy Center, Minhang Hospital, Fudan University, No. 170 Xinsong Road, Minhang district, Shanghai 201100, China. fengli_mh@163.com
Received: July 7, 2021
Peer-review started: July 7, 2021
First decision: October 22, 2021
Revised: November 1, 2021
Accepted: December 25, 2021
Article in press: December 25, 2021
Published online: January 21, 2022
Abstract
BACKGROUND

Submucosal tumors (SMTs) refer to elevated lesions that originate from the layers below the mucosa of the digestive tract, including the muscularis, submucosa and muscularis propria. With the development and application of endoscopy and endoscopic ultrasonography (EUS), the detection rate of SMTs has increased significantly in recent years. Various diseases can lead to SMTs. However, a foreign body embedded in the gastric antrum showing clinical manifestations of a SMT is rare.

CASE SUMMARY

We report the case of a 47-year-old woman, who presented with upper abdominal discomfort for one year, and was subsequently diagnosed with a gastric submucosal lesion caused by an embedded foreign body by EUS and computed tomography. Considering the size and potential complications of this lesion, endoscopic full-thickness resection was performed to achieve full resection in our endoscopy center. A fish bone was found in the lesion during the operation, and was successfully removed, and the defect was later closed with endoscopic purse-string sutures.

CONCLUSION

This case report highlights the management strategies of SMTs, the importance of being familiar with diagnostic methods related to submucosal lesions, and being able to conduct effective treatment when this rare condition is highly suspected.

Keywords: Submucosal tumors, Endoscopic full-thickness resection, Fish bone, Case report

Core Tip: We present a patient who was hospitalized due to upper abdominal discomfort. After careful examination, the patient was diagnosed with a submucosal lesion caused by an embedded fish bone, and the lesion was subsequently removed by endoscopic full-thickness resection. This case highlights the management strategies for submucosal tumors, the importance of being familiar with diagnostic methods and being able to conduct effective treatment when this rare condition is highly suspected.