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Case Reports
. 2015 Mar 28;21(12):3759-62.
doi: 10.3748/wjg.v21.i12.3759.

Gastritis cystica profunda in a previously unoperated stomach: a case report

Xiong-Fei Yu  1 , Li-Wen Guo  1 , Shi-Tu Chen  1 , Li-Song Teng  1
Affiliations
Case Reports

Gastritis cystica profunda in a previously unoperated stomach: a case report

Xiong-Fei Yu et al. World J Gastroenterol. .

Abstract

Gastritis cystica profunda is a relatively rare disease, usually observed at anastomotic sites in stomachs of patients that have undergone gastric procedures. We present the rare case of an elevated lesion in the anterior wall of the gastric antrum of a 43-year-old Chinese woman who had never undergone gastric surgery and had no gastrointestinal tract symptoms. Although the physical examination and laboratory data showed no abnormalities, endoscopic ultrasonography revealed an anechoic cystic structure. Abdominal computed tomography and magnetic resonance imaging showed the gastric wall of the greater curvature of the antrum was markedly and irregularly thickened, and mild to moderate enhancement was observed around the lesion with no enhancement in the central portion, suggestive of a gastrointestinal stromal tumor. The patient underwent a distal gastric resection of the 2.5 cm × 1.5 cm lesion. A postoperative pathologic examination showed dilated cystic glands in the muscularis mucosa and submucosal layers and erosion of the mucosal surface of the tumor, confirming the diagnosis of gastritis cystica profunda without malignancy.

Keywords: Gastritis cystica profunda; Hyperplastic polyp; Stomach.

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Figures

Figure 1
Figure 1
Gastroscopy. An elevated nodular lesion (arrows) with smooth surfaces was observed in the anterior portion of the gastric antrum.
Figure 2
Figure 2
Endoscopic ultrasonography. An anechoic mass with an irregularly thickened wall was observed in the submucosal lining of the stomach.
Figure 3
Figure 3
Radiology. A: Computed tomography; B: Magnetic resonance imaging of the patient in a prone position showed that the gastric wall of the stomach at the greater curvature of the antrum was markedly and irregularly thickened, with mild to moderate enhancement (arrow).
Figure 4
Figure 4
Histology. Hematoxylin and eosin staining of nodular lesion specimens showed dilated cystic glands (arrows) in the A: Muscularis mucosa (× 50 magnification); B: Submucosal layers (× 400 magnification).
See this image and copyright information in PMC

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