Eosinophilic gastroenteritis mimicking as a malignant gastric ulcer with lymphadenopathy as shown by computed tomography and endoscopic ultrasound

Choudhary, Narendra S.; Puri, Rajesh; Lipi, Lipika; Saraf, Neeraj

doi:10.4103/2303-9027.151373

Cited by 7 publications

(4 citation statements)

References 4 publications

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“…20 Endoscopy can facilitate precise localization of the tumor, and endoscopic needle biopsy can assist in confirming the diagnosis of a submucosal tumor by pathology. 21,22 EUS is regarded as the most suitable approach to the diagnosis of small lesions, while EUS-guided fine-needle aspiration can also be helpful in achieving a diagnosis. 23 For malignant tumors, however, needle biopsy is associated with a risk of rupture and spread.…”

Section: Discussionmentioning

confidence: 99%

Gastric schwannoma: a case report and literature review

Zhang

2020

J Int Med Res

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Background Gastric schwannoma is a rarely seen gastric tumor accounting for only 0.2% of all gastric tumors. It is difficult to distinguish a gastric schwannoma from other gastric tumors preoperatively. Case presentation: A 30-year-old man with no significant medical history or physical examination findings presented with a 1-month history of right upper abdominal discomfort. The preoperative diagnosis was a gastrointestinal stromal tumor, but the postoperative pathologic and immunohistochemical examinations confirmed a gastric schwannoma. The patient underwent laparoscopic wedge resection of the stomach without additional postoperative treatment, and his postoperative recovery was uneventful. No recurrence or metastasis was found at the 2-year follow-up examination. Conclusion Although gastric schwannomas are usually not malignant, they are difficult to distinguish from other malignant stromal tumors preoperatively. Surgical resection should be recommended when a schwannoma is malignant or considered to be at risk of becoming malignant.

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Section: Discussionmentioning

confidence: 99%

Gastric schwannoma: a case report and literature review

Zhang

2020

J Int Med Res

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“…EUS can detect lesions which cannot be identified by white light endoscopy[ 16 - 20 ], and allows observation of the bowel wall structure[ 21 ]. EUS is also used for the treatment of complications and follow-up studies[ 22 - 27 ].…”

Section: Discussionmentioning

confidence: 99%

Diagnostic classification of endosonography for differentiating colorectal ulcerative diseases: A new statistical method

Qiu¹,

Wen²,

Cheng³

et al. 2017

WJG

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AIMTo establish a classification method for differential diagnosis of colorectal ulcerative diseases, especially Crohn’s disease (CD), primary intestinal lymphoma (PIL) and intestinal tuberculosis (ITB).METHODSWe searched the in-patient medical record database for confirmed cases of CD, PIL and ITB from 2008 to 2015 at our center, collected data on endoscopic ultrasound (EUS) from randomly-chosen patients who formed the training set, conducted univariate logistic regression analysis to summarize EUS features of CD, PIL and ITB, and created a diagnostic classification method. All cases found to have colorectal ulcers using EUS were obtained from the endoscopy database and formed the test set. We then removed the cases which were easily diagnosed, and the remaining cases formed the perplexing test set. We re-diagnosed the cases in the three sets using the classification method, determined EUS diagnostic accuracies, and adjusted the classification accordingly. Finally, the re-diagnosing and accuracy-calculating steps were repeated.RESULTSIn total, 272 CD, 60 PIL and 39 ITB cases were diagnosed from 2008 to 2015 based on the in-patient database, and 200 CD, 30 PIL and 20 ITB cases were randomly chosen to form the training set. The EUS features were summarized as follows: CD: Thickened submucosa with a slightly high echo level and visible layer; PIL: Absent layer and diffuse hypoechoic mass; and ITB: Thickened mucosa with a high or slightly high echo level and visible layer. The test set consisted of 77 CD, 30 PIL, 23 ITB and 140 cases of other diseases obtained from the endoscopy database. Seventy-four cases were excluded to form the perplexing test set. After adjustment of the classification, EUS diagnostic accuracies for CD, PIL and ITB were 83.6% (209/250), 97.2% (243/250) and 85.6% (214/250) in the training set, were 89.3% (241/270), 97.8% (264/270) and 84.1% (227/270) in the test set, and were 86.7% (170/196), 98.0% (192/196) and 85.2% (167/196) in the perplexing set, respectively.CONCLUSIONThe EUS features of CD, PIL and ITB are different. The diagnostic classification method is reliable in the differential diagnosis of colorectal ulcerative diseases.

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“…Some FBs, especially sharp‐pointed ones, may migrate from the GI lumen into the submucosa or into adjacent tissue, leaving behind a bulge or ulcer in the GI tract. With EUS being more commonly used in clinical practice these days, EUS‐L can be performed to locate FBs in such situations. Here, FBs are always hyperechogenic and are distinguishable from the surrounding tissue .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound‐guided retrieval of a toothpick embedded in the stomach wall

Sun

2017

J of Clinical Ultrasound

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Patients with the complaint of ingested foreign body commonly present in the emergency department. Radiographic imaging is always done for the purpose of localization. However, radiolucent materials like wood are not easily picked up on CT scan. We report the case of a 33-year-old male patient who presented with the complaint of progressive abdominal pain and history of ingestion of a toothpick. It was removed by endoscopic ultrasound-guided localization-assisted targeted endoscopic dissection. Endoscopic ultrasound-guided localization reduced the length and depth of the required incision and helped to minimize the risk of damage to the surrounding tissue. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:603-604, 2017.

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Eosinophilic gastroenteritis mimicking as a malignant gastric ulcer with lymphadenopathy as shown by computed tomography and endoscopic ultrasound

Cited by 7 publications

References 4 publications

Gastric schwannoma: a case report and literature review

Gastric schwannoma: a case report and literature review

Diagnostic classification of endosonography for differentiating colorectal ulcerative diseases: A new statistical method

Endoscopic ultrasound‐guided retrieval of a toothpick embedded in the stomach wall

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