An Unusual Duodenal Subepithelial Lesion: A Challenging Case
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 stud...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
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| Series: | Journal of Digestive Endoscopy |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1792135 |
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| author | Cristina Lucidi Laura Conti Francesca Biancaniello Daniele Lisi Anthony Vignone Valeria D'Ovidio |
| author_facet | Cristina Lucidi Laura Conti Francesca Biancaniello Daniele Lisi Anthony Vignone Valeria D'Ovidio |
| author_sort | Cristina Lucidi |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-057714e92ea449e8be6aa7509a8ee4c9 |
| institution | Kabale University |
| issn | 0976-5042 0976-5050 |
| language | English |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Digestive Endoscopy |
| spelling | doaj-art-057714e92ea449e8be6aa7509a8ee4c92024-11-22T02:15:20ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-505010.1055/s-0044-1792135An Unusual Duodenal Subepithelial Lesion: A Challenging CaseCristina Lucidi0https://orcid.org/0000-0002-5403-6573Laura Conti1Francesca Biancaniello2Daniele Lisi3Anthony Vignone4Valeria D'Ovidio5Gastroenterology and Urgency Digestive Endoscopy Unit, Emergency Department, S. Eugenio Hospital, Rome, ItalyGastroenterology and Urgency Digestive Endoscopy Unit, S. Eugenio Hospital, Rome, ItalyGastroenterology Unit Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, ItalyGastroenterology and Urgency Digestive Endoscopy Unit, S. Eugenio Hospital, Rome, ItalyGastroenterology Unit, Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, ItalyGastroenterology and Urgency Digestive Endoscopy Unit, S. Eugenio Hospital, Rome, ItalyThe 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1792135endoscopic ultrasoundEUSleiomyomasubepithelial lesion |
| spellingShingle | Cristina Lucidi Laura Conti Francesca Biancaniello Daniele Lisi Anthony Vignone Valeria D'Ovidio An Unusual Duodenal Subepithelial Lesion: A Challenging Case Journal of Digestive Endoscopy endoscopic ultrasound EUS leiomyoma subepithelial lesion |
| title | An Unusual Duodenal Subepithelial Lesion: A Challenging Case |
| title_full | An Unusual Duodenal Subepithelial Lesion: A Challenging Case |
| title_fullStr | An Unusual Duodenal Subepithelial Lesion: A Challenging Case |
| title_full_unstemmed | An Unusual Duodenal Subepithelial Lesion: A Challenging Case |
| title_short | An Unusual Duodenal Subepithelial Lesion: A Challenging Case |
| title_sort | unusual duodenal subepithelial lesion a challenging case |
| topic | endoscopic ultrasound EUS leiomyoma subepithelial lesion |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1792135 |
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