False gastric subepithelial lesion: Endoscopic Ultrasonography (EUS) as an essential tool

Abstract Text Case report: A 36-year-old primiparous woman, being studied for iron deficiency anemia. Gastroscopy (private center): 10 mm subepithelial lesion in upper part of greater curvature. The patient is sent to our center for biopsy/resection. We previously performed an EUS.

Echoendoscopy: anechoic lesion, regular borders, vascular, 9x11mm, not dependent on gastric layers, being an extraluminal lesion. Doppler with arterial flow, consistent with splenic arterial aneurysm (EAA) causing extrinsic compression. Abdominal CT angiography confirms diagnostic suspicion. EAAs are a very rare etiology of LSSE. EUS prior to taking biopsies/resection of LSEG prevent serious complications.

Conflicts of interest

Authors do not have any conflict of interest to disclose.

Publication History

Article published online:
14 April 2023