Interesting Case Update 2
56 Years old gentleman presented with left upper quadrant dull-aching pain and Malena. No known comorbidities. The outside evaluation suggested GIST like lesion involving gastric fundus with splenic vein thrombosis in the background of chronic pancreatitis, having mild to moderate hemoperitoneum. ODG revealed bleeding like a GIST lesion.
After transfusions, the patient was taken up. Spleen found densely adherent to the lesion. Fundectomy with splenectomy was done. The patient had a minor leak near GE junction on day 5, was managed with NJ.
Looks like a routine case, right?
Biopsy revealed organized hematoma mimicking as GIST or “Pseudotumor of the stomach.”
Any similar experiences or comments?