Gastric foreign body granuloma resembling gastric cancer: a case report
Abstract Fishbones are frequently swallowed by foreign objects that can penetrate the gastrointestinal tract. Nonetheless, it is quite uncommon for these fishbones to become lodged within the tract, resulting in the formation of foreign body granulomas that resemble submucosal tumors. When encounter...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-02-01
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| Series: | The Egyptian Journal of Internal Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43162-024-00281-0 |
| _version_ | 1797273212582625280 |
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| author | Hussein Hassan Okasha Ahmed Elsayed Alzamzamy Hanane Delsa Haitham fekry Othman Ahmed sayed Alsibaie Abeer Abdellatef |
| author_facet | Hussein Hassan Okasha Ahmed Elsayed Alzamzamy Hanane Delsa Haitham fekry Othman Ahmed sayed Alsibaie Abeer Abdellatef |
| author_sort | Hussein Hassan Okasha |
| collection | DOAJ |
| description | Abstract Fishbones are frequently swallowed by foreign objects that can penetrate the gastrointestinal tract. Nonetheless, it is quite uncommon for these fishbones to become lodged within the tract, resulting in the formation of foreign body granulomas that resemble submucosal tumors. When encountering this situation, it's important to consider differential diagnoses such as gastric intestinal stromal tumor, gastric leiomyoma, and gastric neurofibroma. We present a case of gastric foreign body granuloma that presents with dull aching epigastric pain. The patient gave a vague history of displaced intrauterine contraceptive devices (IUCD). Contrast CT and PET scan showed a gastric antral mass possibly a gastric cancer or a migrating IUCD. Endoscopic ultrasound (EUS) suggested a perigastric foreign body reaction due to the presence of a linear echogenic structure in between the markedly thickened gastric antral wall and the right lobe of the liver. EUS-guided fine needle biopsy (EUS-FNB) revealed non-specific inflammatory reaction. Afterward, surgical exploration unveiled the cause of the mass as a foreign body granuloma caused by a perforating fishbone. |
| first_indexed | 2024-03-07T14:40:20Z |
| format | Article |
| id | doaj.art-fbfe091466a34713a6f4dba8ef6983f1 |
| institution | Directory Open Access Journal |
| issn | 2090-9098 |
| language | English |
| last_indexed | 2024-03-07T14:40:20Z |
| publishDate | 2024-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Internal Medicine |
| spelling | doaj.art-fbfe091466a34713a6f4dba8ef6983f12024-03-05T20:25:00ZengSpringerOpenThe Egyptian Journal of Internal Medicine2090-90982024-02-013611410.1186/s43162-024-00281-0Gastric foreign body granuloma resembling gastric cancer: a case reportHussein Hassan Okasha0Ahmed Elsayed Alzamzamy1Hanane Delsa2Haitham fekry Othman3Ahmed sayed Alsibaie4Abeer Abdellatef5Internal Medicine Department, Division of Gastroenterology and Hepatology, Kasr Al-Aini School of Medicine, Cairo UniversityDepartment of Gastroenterology and Hepatology, Maadi Armed Forces Medical Complex, Military Medical AcademyDepartment of Gastroenterology and Hepatology, Mohammed VI Center for Research and Innovation, Cheikh Khalifa International University HospitalVI University of Sciences and HealthResearch UnitDepartment of Surgery, National Cancer Institute, Cairo UniversityDepartment of Surgery, National Cancer Institute, Cairo UniversityInternal Medicine Department, Division of Gastroenterology and Hepatology, Kasr Al-Aini School of Medicine, Cairo UniversityAbstract Fishbones are frequently swallowed by foreign objects that can penetrate the gastrointestinal tract. Nonetheless, it is quite uncommon for these fishbones to become lodged within the tract, resulting in the formation of foreign body granulomas that resemble submucosal tumors. When encountering this situation, it's important to consider differential diagnoses such as gastric intestinal stromal tumor, gastric leiomyoma, and gastric neurofibroma. We present a case of gastric foreign body granuloma that presents with dull aching epigastric pain. The patient gave a vague history of displaced intrauterine contraceptive devices (IUCD). Contrast CT and PET scan showed a gastric antral mass possibly a gastric cancer or a migrating IUCD. Endoscopic ultrasound (EUS) suggested a perigastric foreign body reaction due to the presence of a linear echogenic structure in between the markedly thickened gastric antral wall and the right lobe of the liver. EUS-guided fine needle biopsy (EUS-FNB) revealed non-specific inflammatory reaction. Afterward, surgical exploration unveiled the cause of the mass as a foreign body granuloma caused by a perforating fishbone.https://doi.org/10.1186/s43162-024-00281-0Foreign body granulomaGastric antral tumorsFishboneEUSEUS-FNB |
| spellingShingle | Hussein Hassan Okasha Ahmed Elsayed Alzamzamy Hanane Delsa Haitham fekry Othman Ahmed sayed Alsibaie Abeer Abdellatef Gastric foreign body granuloma resembling gastric cancer: a case report The Egyptian Journal of Internal Medicine Foreign body granuloma Gastric antral tumors Fishbone EUS EUS-FNB |
| title | Gastric foreign body granuloma resembling gastric cancer: a case report |
| title_full | Gastric foreign body granuloma resembling gastric cancer: a case report |
| title_fullStr | Gastric foreign body granuloma resembling gastric cancer: a case report |
| title_full_unstemmed | Gastric foreign body granuloma resembling gastric cancer: a case report |
| title_short | Gastric foreign body granuloma resembling gastric cancer: a case report |
| title_sort | gastric foreign body granuloma resembling gastric cancer a case report |
| topic | Foreign body granuloma Gastric antral tumors Fishbone EUS EUS-FNB |
| url | https://doi.org/10.1186/s43162-024-00281-0 |
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