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CC BY 4.0 · Journal of Digestive Endoscopy
DOI: 10.1055/s-0044-1792135
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An Unusual Duodenal Subepithelial Lesion: A Challenging Case

Authors

  • Cristina Lucidi 

    1   Gastroenterology and Urgency Digestive Endoscopy Unit, Emergency Department, S. Eugenio Hospital, Rome, Italy

  • Laura Conti

    2   Gastroenterology and Urgency Digestive Endoscopy Unit, S. Eugenio Hospital, Rome, Italy

  • Francesca Biancaniello

    3   Gastroenterology Unit Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy

  • Daniele Lisi

    2   Gastroenterology and Urgency Digestive Endoscopy Unit, S. Eugenio Hospital, Rome, Italy

  • Anthony Vignone

    4   Gastroenterology Unit, Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy

  • Valeria D'Ovidio

    2   Gastroenterology and Urgency Digestive Endoscopy Unit, S. Eugenio Hospital, Rome, Italy

Funding None.
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Abstract

The diagnostic journey in gastrointestinal lesions, particularly when presenting with atypical features, often poses formidable challenges in clinical practice. This challenge is vividly illustrated in the case of an 88-year-old man with severe acute-on-chronic gangrenous cholecystitis. Imaging studies prior to surgery unveiled an unexpected 30 × 26 mm nodular formation nestled between the pancreas and duodenum suspected for neoplasia. Endoscopic ultrasound allows obtaining an atypical benign diagnosis of a benign subepithelial lesion. This intriguing case highlights the intricate nature of differential diagnosis in such lesions, especially when they attain substantial dimensions. The nuanced imaging features and integration of advanced techniques like endoscopic ultrasound with DWI and elastography emerge as pivotal tools in achieving precise diagnosis and guiding tailored treatment strategies.

Keywords

endoscopic ultrasound - EUS - leiomyoma - subepithelial lesion

Authors' Contributions

All the authors were involved in writing and editing the manuscript.




Publication History

Article published online:
21 November 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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