PMC7876734_01
Contrast-enhanced CT abdominal scan showed the voluminous gastric formation with a diameter of 6.5 cm x 7 cm x 7.9 cm, internal fluid components probably due to necrosis and thick contrast-enhanced walls (1 cm max).
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Contrast-enhanced CT abdominal scan described this voluminous gastric formation with a diameter of 6.5 cm x 7 cm x 7.9 cm, internal fluid components probably due to necrosis and thick contrast-enhanced walls (1 cm max) [Fig. 1].
a) Endoscopic detection of the lesion; b) endoscopic ultrasound shows the central anechoic dishomogeneous area of the tumour, caused by necrosis of the tissue.
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Endoscopic ultrasound confirmed the presence of the voluminous mass located in cardial region and extended to gastric fundus [Fig. 2]. The lesion was entirely developed in the submucosal layer and presented a dishomogeneous structure with a central anechoic area due to necrosis [Fig. 2].
a) Laparoscopic gastrotomy; b) extroflection of the tumour mass and exposition of the pedicle; c) wedge resection of the lesion; d) flexible endoscope arising after resection of tumour mass; e) excision of exophyric lesions; f) closure of the gastric breach; g) resultant suture grip; h) final intraoperative gastroscopy check.
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A 10 cm laparoscopic gastrotomy was carried out along the gastric fundus in order to realize a laparo-endoscopic rendez-vous technique (Fig. 3).