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Rare incidental endoscopic findings may have grave implications requiring a high index of suspicion with a low threshold for histopathological examination. We present a case of just such an incidental gastric lesion, which on histopathological analysis was determined to be Crystal-Storing Histiocytosis (CSH), a rare manifestation of lymphoproliferative disorders.
An elderly patient presented for an upper gastrointestinal endoscopy with longstanding symptoms suggestive of gastroesophageal acid reflux despite proton pump inhibitor use. The upper endoscopy reported a normal oesophagus and duodenum. However, a questionable submucosal lesion was noted in the antrum. This resulted in a referral to our centre for an endoscopic ultrasound (EUS). While performing the EUS, a 2 cm whitish patch was incidentally noted on the greater curvature of the …
Contributors AV: lead author with involvement in initial endoscopy, conception and drafting the manuscript. KDC: pathologist involved in obtaining the images and revising the manuscript. KKL: pathologist involved in histological examination and making the initial diagnosis as well as revising the manuscript. RR: endoscopist responsible for initial detection and biopsy of specimen as well as in revising and finalising the manuscript.
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.
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