World journal of clinical cases · 2025
Gastric Crohn's disease presenting as a subepithelial tumor: A case report.
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Park Yong Eun
Аннотация
BACKGROUND: Submucosal tumors arise from the subepithelial layer anywhere along the gastrointestinal tract, most commonly in the stomach. A wide range of lesions, from benign to malignant, may present as gastric submucosal tumors. However, the gastric involvement of Crohn's disease (CD) is generally not considered in the differential diagnosis of such lesions.
CASE SUMMARY: A 23-year-old male patient presented with a gastric subepithelial tumor. The medical history included CD. Diagnostic workup revealed a 3-cm mucosal lesion with a central ulceration on the posterior wall of the distal antrum. The patient underwent laparoscopic wedge resection of stomach, and the postoperative course was uneventful. Histopathological analysis confirmed a diagnosis of gastric CD presenting as a subepithelial tumor.
CONCLUSION: Despite its rarity, upper gastrointestinal CD can present as a gastric subepithelial tumor, warranting consideration in young patients with CD.
CASE SUMMARY: A 23-year-old male patient presented with a gastric subepithelial tumor. The medical history included CD. Diagnostic workup revealed a 3-cm mucosal lesion with a central ulceration on the posterior wall of the distal antrum. The patient underwent laparoscopic wedge resection of stomach, and the postoperative course was uneventful. Histopathological analysis confirmed a diagnosis of gastric CD presenting as a subepithelial tumor.
CONCLUSION: Despite its rarity, upper gastrointestinal CD can present as a gastric subepithelial tumor, warranting consideration in young patients with CD.