title: Hepatic cyst misdiagnosed as a gastric submucosal tumor: a case report.
abstract: We describe here a case of 51-year-old woman with a symptomatic hepatic cyst that was misdiagnosed as a gastric submucosal tumor (SMT) with endoscopic ultrasound (EUS) and CT scan. The patient presented with an epigastric pain for two months. On endoscopy, a submucosal tumor was found on the cardia of the stomach. Based on EUS and abdominal CT scan, the lesion was diagnosed as a gastric duplication cyst or a gastrointestinal stromal tumor (GIST). The operative plan was laparoscopic wedge resection for the GIST of the gastric cardia. A cystic mass arising from the left lateral segment of the liver was found at the laparoscopic examination. There was no abnormal finding at the gastric cardia. She was treated by laparoscopic hepatic wedge resection including the hepatic cyst using an endoscopic linear stapler.
authors.affiliation: Department of Surgery, Korea University Anam Hospital, Seoul 136-705, South Korea.
authors.forename: Joong-Min
authors.initials: JM
authors.lastname: Park
authors.forename: Jin
authors.initials: J
authors.lastname: Kim
authors.forename: Ho-Il
authors.initials: HI
authors.lastname: Kim
authors.forename: Chong-Suk
authors.initials: CS
authors.lastname: Kim
mesh_terms: D003560:Cysts / Q000473:pathology* / Q000601:surgery; D003951:Diagnostic Errors; D019160:Endosonography; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology; D046152:Gastrointestinal Stromal Tumors / Q000473:pathology*; D005773:Gastroscopy; D006801:Humans; D010535:Laparoscopy; D008107:Liver Diseases / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome