Title:Incidental Gastric Adenomyoma during Bariatric Surgery: Diagnostic and Management Challenges - A Case Report
Volume: 5
Author(s): Pulimuttil James Zachariah*Rana Saleh
Affiliation:
- Department of General and Bariatric Surgery, Zulekha Hospital Dubai, Dubai, UAE
Keywords:
Incidental tumours, Gastric adenomyoma, One-anastomosis gastric bypass, Antral tumours, Bariatric surgery, Gastrectomy, Minigastric bypass.
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.
