International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 5, Issue 4 | Clinical Image | Open Access DOI
Venkatesh Vaithiyam*
Payila Satya Raghava Aneesh1, Venkatesh Vaithiyam2*, Surbhi Goyal3, Ashok Dalal4
1DM Gastroenterology, Senior Resident, Department of Gastroenterology, GB Pant Hospital and associated Maulana Azad Medical College New Delhi, India
2Assistant professor, Department of Gastroenterology, GB Pant Hospital and associated Maulana Azad Medical College New Delhi, India
3MD Pathology, Professor, Department of Pathology, GB Pant Hospital and associated Maulana Azad Medical College, New Delhi, India
4DM Gastroenterology, Professor, Department of Gastroenterology, GB Pant Hospital and associated Maulana Azad Medical College, New Delhi, India
*Correspondence to: Venkatesh Vaithiyam
Fulltext PDFA 45-year-old woman without comorbidities presented with hematemesis 45 days prior. On examination, she was pale, and her systemic examination was unremarkable. Laboratory examination revealed iron-deficiency anemia. Upper gastrointestinal endoscopy revealed a large pedunculated polyp in the gastric fundus, measuring 5 cm, with a 1 cm vascular stalk (Figure 1A). Computed Tomography showed only a gastric polyp (Figure 1B). Endoscopic ultrasound (EUS) revealed a freely floating, isoechoic polyp with calcifications in the head region, without significant vascularity at the base, likely arising from the layer 2 of the gastric mucosa (Figure 1C and D). Hot snare polypectomy was performed after the application of an endoloop (Figure 1E-G). The postoperative period was uneventful, and the patient was discharged the following day. Histopathological and immunohistochemical examinations revealed a gastrointestinal stromal tumor with R0 resection (Figure 2A-C). She remains on follow-up without bleeding or recurrence. Calcification within gastric lesions is uncommon but is a valuable diagnostic indicator. The tumor location and calcification pattern help narrow the differential diagnosis.
Payila Satya Raghava Aneesh, Venkatesh Vaithiyam, Surbhi Goyal, Ashok Dalal. Endoscopic Resection of a Large Pedunculated Gastric Gastrointestinal Stromal Tumour. Int Clinc Med Case Rep Jour. 2026;5(4):1-3.