title: Laparoscopic antral resection with Billroth I reconstruction for a gastric glomus tumor.
abstract: BACKGROUND
  Gastric glomus tumors are fairly uncommon and mostly benign, with an estimated incidence of 1% of all GI soft tissue tumors. The most common GI site of involvement is the stomach, and in particular the antrum. Some cases have been discovered incidentally, but most are symptomatic presenting with GI bleeding, perforation or abdominal pain. Glomus tumors are submucosal tumors and hence mistaken with the more frequent gastrointestinal stromal tumors.
  
  
  METHODS
  A 33-year-old woman presented with intermittent dull upper abdominal pain for two days. Abdominal computed tomography (CT) was performed showing a hyperdense mass in the antrum. Endoscopy and endoscopic ultrasound revealed a submucosal antral mass along the greater curvature, suspicious for a gastrointestinal (GI) stromal tumor (GIST), a laparoscopic antrectomy with Billroth I reconstruction was done. Pathological examination revealed that the mass was a gastric glomus tumor.
  
  
  CONCLUSIONS
  The presented case report met all the usual standard criteria commonly used to identify glomus tumors, the uniqueness of the case lies in the occurrence of the glomus tumor in the stomach, first suspected as GIST, then confirmed as a gastric glomus tumor. The vast majority of glomus tumors of the GI tract have been described in the gastric antrum. They occur in adults of all ages with a significant female predominance (78%).
  
  
  CONCLUSIONS
  This case may aid in improving the recognition and diagnosis of this rare entity and in differentiating it from more common GISTs and gastric carcinoids. A built up knowledge between physicians is extremely necessary to avoid common confusion in taking the right medical approach.
authors.affiliation: Department of General Surgery, American University of Beirut Medical Centre, Riad El Solh, Beirut 1107 2020, Lebanon. Electronic address: halawani.md@gmail.com.
authors.forename: Hamzeh M
authors.initials: HM
authors.lastname: Halawani
authors.affiliation: Department of General Surgery, American University of Beirut Medical Centre, Riad El Solh, Beirut 1107 2020, Lebanon. Electronic address: mk12@aub.edu.lb.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Khalife
authors.affiliation: Department of General Surgery, American University of Beirut Medical Centre, Riad El Solh, Beirut 1107 2020, Lebanon. Electronic address: bs27@aub.edu.lb.
authors.forename: Bassem
authors.initials: B
authors.lastname: Safadi
authors.affiliation: Department of General Surgery, American University of Beirut Medical Centre, Riad El Solh, Beirut 1107 2020, Lebanon. Electronic address: kr08@aub.edu.lb.
authors.forename: Khaled
authors.initials: K
authors.lastname: Rida
authors.affiliation: Department of General Surgery, American University of Beirut Medical Centre, Riad El Solh, Beirut 1107 2020, Lebanon. Electronic address: fb17@aub.edu.lb.
authors.forename: Fouad
authors.initials: F
authors.lastname: Boulos
authors.affiliation: Department of General Surgery, American University of Beirut Medical Centre, Riad El Solh, Beirut 1107 2020, Lebanon. Electronic address: fmk14@mail.aub.edu.
authors.forename: Farah
authors.initials: F
authors.lastname: Khalifeh
keywords: Antrum; Diagnosis; Glomus Tumor; Laparoscopy