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2000
Volume 5, Issue 1
  • ISSN: 0250-6882
  • E-ISSN: 0250-6882
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Abstract

Background

Incidental gastric tumours, including benign gastric adenomyoma (GA) during bariatric surgery, can pose diagnostic and management dilemmas, resulting in misdiagnosis, inappropriate procedures, or even abandoning the procedure.

Case Presentation

We report a rare case of an incidental prepyloric GA discovered during a one-anastomosis gastric bypass performed for diabetes management. Preoperative gastroscopy was unremarkable, but intraoperative laparoscopy revealed a mass near the pylorus resembling a gastrointestinal stromal tumour (GIST). An initial histopathological examination was non-confirmatory. However, subsequently, it was confirmed to be a GA. The patient underwent a staged surgical approach, achieving diabetic control during the primary procedure and tumour excision subsequently. This is the first documented case of GA discovered during bariatric surgery.

Conclusion

Gastric tumours identified during bariatric procedures necessitate an individualized approach considering the procedure planned, tumour characteristics, and anatomical location, to achieve the best clinical outcomes.

2024 © 2024 The Author(s). Published by Bentham Science Publisher. The Author(s)
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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2024-01-01
2025-09-28

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Incidental Gastric Adenomyoma during Bariatric Surgery: Diagnostic and Management Challenges - A Case Report
NEW Emirates Medical J 5, E02506882367346 (2024); https://doi.org/10.2174/0102506882367346250217080446
/content/journals/nemj/10.2174/0102506882367346250217080446
/content/journals/nemj/10.2174/0102506882367346250217080446
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  • Article Type:     Case Report
Keyword(s): Antral tumours; Bariatric surgery; Gastrectomy; Gastric adenomyoma; Incidental tumours; Mini-gastric bypass; One-anastomosis gastric bypass

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