Diagnosis and treatment of a gastric hamartomatous inverted polyp: report of a case

Surg Today. 2004;34(6):532-6. doi: 10.1007/s00595-004-2761-1.

Abstract

Gastric hamartomatous polyps are rare and difficult to diagnose. We report the case of a 43-year-old woman admitted to our hospital after an upper gastrointestinal series revealed a submucosal tumor. Upper gastrointestinal endoscopy showed a submucosal tumor (SMT), which was eroded with a depression on its surface, in the upper corpus. Endoscopic ultrasonography showed a heterogeneous tumor in the third layer. A laparoscopic wedge resection of the stomach allowed us to perform complete resection of the tumor, which measured 2.8 cm in diameter. The pathological diagnosis was a gastric hamartomatous inverted polyp. The postoperative course was uneventful. Only 27 cases of gastric hamartomatous polyps have been reported in Japan. Hamartomatous inverted polyps without a stalk are classified as the "SMT type" because the tumor is inverted into the submucosal layer, whereas polyps with a stalk are classified as the "polyp type." All of the polyps in past reports were resected endoscopically; however, laparoscopic wedge resection may be indicated for SMT-type hamartomatous inverted polyps larger than 2.0 cm in diameter.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / surgery*
  • Hamartoma / diagnosis
  • Hamartoma / surgery*
  • Humans
  • Laparoscopy / methods*
  • Polyps / diagnosis
  • Polyps / surgery*
  • Stomach Neoplasms / diagnosis
  • Stomach Neoplasms / surgery*