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Case Reports
. 2023 Aug 21:2023:9568983.
doi: 10.1155/2023/9568983. eCollection 2023.

Perigastric Hematoma Masquerading as a Gastric Tumor

Kevin Yang  1 , Nariman Hossein-Javaheri  1 , Naren Nallapeta  1 , Mayada Ismail  1
Affiliations
Case Reports

Perigastric Hematoma Masquerading as a Gastric Tumor

Kevin Yang et al. Case Rep Gastrointest Med. .

Abstract

Perigastric and intramural gastric hematomas rarely occur, with most cases associated with trauma, coagulopathy, and peptic ulcer disease. Furthermore, hematomas in the upper gastrointestinal tract are commonly located in the esophagus and duodenum. In this case report, we describe a hematoma masquerading as a gastric tumor on esophagogastroduodenoscopy (EGD) in a 54-year-old male presenting with melena. Initial computed tomography (CT) imaging suggested gastrointestinal stromal tumor (GIST) as the probable cause. We performed endoscopic ultrasound (EUS) with findings consistent with a perigastric hematoma, which aligned with the patient's diagnosis of splenic vein thrombosis (SVT) and numerous collateral vessels communicating with the hematoma. Interventional radiology (IR) was consulted for further management, although we ultimately chose a conservative approach.

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Conflict of interest statement

The authors declare that there are no conflicts of interest

Figures

Figure 1
Figure 1
Axial CT view showing the large gastric mass.
Figure 2
Figure 2
Axial CT view 2 showing the large gastric mass.
Figure 3
Figure 3
Coronal CT view of the large complex gastric mass.
Figure 4
Figure 4
Endoscopic ultrasound showing perigastric hematoma and associated collateral vessels.
Figure 5
Figure 5
Endoscopic ultrasound view 2 showing perigastric hematoma and associated collateral vessels.
See this image and copyright information in PMC

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