PMC5768546_01
Image modality findings. (A) Upper endoscopy showing a 5-cm subepithelial lesion at the anterior wall of the upper body of the stomach. (B) Endoscopic ultrasonography showing an extragastric lesion with sharp hyperechoic margins with posterior acoustic shadowing. (C) Cross sectional scan of abdomen computed tomography showing a deformity in the left chest wall, with resultant compression of the stomach.
kjim-2016-341f1.jpg
PMC5768546_01_kjim-2016-341f1.jpg
f1-kjim-2016-341
Upper endoscopy revealed a 5-cm SEL at the anterior wall of the upper body of the stomach (Fig. 1A). Endoscopic ultrasonography revealed an extragastric lesion with sharp hyperechoic margins with posterior acoustic shadowing, which interrupted the detailed examination to observe inner structures (Fig. 1B). Abdominal computed tomography revealed a deformity in the left chest wall, with resultant compression of the stomach (Fig. 1C).
Inspection findings: a sunken appearance of the left chest wall (arrow).
kjim-2016-341f2.jpg
PMC5768546_01_kjim-2016-341f2.jpg
f2-kjim-2016-341
Further inspection showed a sunken deformity in the left chest wall (Fig. 2).