title: Gastric subepithelial lesion complicated with abscess: Case report and literature review.
abstract: Gastric abscess is a localized pyogenic inflammation of the gastric wall, which is a rare form of suppurative gastritis. The rarity of gastric abscess may be associated with the difficulty of early diagnosis and high mortality as a result. In general, subepithelial lesions (SELs) of the stomach are incidentally detected during the course of upper endoscopy without specific clinical symptoms and signs. However, some gastric SELs present rarely as a form of hemorrhage, obstruction, perforation, and abscess. Here we report a 45-year-old man with gastric SEL presenting as a gastric abscess, which was diagnosed as an ectopic pancreas of the stomach, along with a review of the literature. Although gastric SEL presenting as an abscess is known as a serious and life-threatening lesion, the patient made a complete recovery through surgical resection as well as medical treatment.
authors.affiliation: Sung Bum Kim, Myung Jin Oh, Si Hyung Lee, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu 705-802, South Korea.
authors.forename: Sung Bum
authors.initials: SB
authors.lastname: Kim
authors.affiliation: Sung Bum Kim, Myung Jin Oh, Si Hyung Lee, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu 705-802, South Korea.
authors.forename: Myung Jin
authors.initials: MJ
authors.lastname: Oh
authors.affiliation: Sung Bum Kim, Myung Jin Oh, Si Hyung Lee, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu 705-802, South Korea.
authors.forename: Si Hyung
authors.initials: SH
authors.lastname: Lee
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001706:Biopsy; D002828:Choristoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019160:Endosonography; D005743:Gastrectomy; D005756:Gastritis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas; D013272:Stomach Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Ectopic pancreas; Endoscopic ultrasound; Gastric abscess; Subepithelial lesion; Suppurative gastritis