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KMID : 0882420120820020208
Korean Journal of Medicine
2012 Volume.82 No. 2 p.208 ~ p.211
Subepithelial Lesion of the Gastric Fundus Caused by an Accessory Spleen
Park Myoung-Ok

Lee Sung-Won
Kim Hee-Jung
Choi Dae-Hee
Park Sung-Chul
Lee Sung-Joon
Kang Chang-Don
Abstract
When a submucosal lesion is discovered at the gastric fundus by gastroscopy, it may be difficult to distinguish a gastric external compression from a true submucosal tumor (SMT). The stomach is a hollow organ centrally placed in the upper abdomen, and it is possible to have a protruding external compression at the fundus, particularly from an enlarged spleen or splenic artery. An accessory spleen or splenosis is not a very unusual finding but may rarely produce such external compression at the gastric fundus. We experienced a case of an accessory spleen mimicking a gastric SMT diagnosed through a gastroscopy after a splenectomy.
KEYWORD
Accessory spleen, Gastric submucosal tumor
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