Document Type
Article
Publication Date
6-20-2024
Abstract
BACKGROUND: Incidentally found masses are a widely discussed area of medicine, and there are conflicting opinions as to how to deal with these findings, particularly in the stomach-which has limited documentation in the literature. Here we present a middle-aged female who was found to have an incidentally found mass on her remnant stomach 10 years after a Roux-en-Y gastric bypass (RYGB) surgery.
CASE PRESENTATION: We present the case of a 66-year-old female who is 10 years post-op from a RYGB. After a bout of self-resolving diarrheal illness prompted a computed tomography (CT) scan in the emergency department, she was diagnosed with a 9-cm mass on her remnant stomach that after resection was found to be a gastrointestinal stromal tumor (GIST) with the PDGRRA p.D842V gene mutation.
CONCLUSION: The National Comprehensive Cancer Network (NCCN) outlines guidelines for the workup of abdominal masses. While endoscopic ultrasound is a common step in diagnosis of gastric masses, for a patient who has had a RYGB, access to the remnant stomach, which is no longer a part of the alimentary tract, is not possible. Thus, this patient's mass was surgically resected. Given the low risk of recurrence, her future care consists of follow-up with medical oncology in accordance with the NCCN guidelines.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Recommended Citation
Geller, Jennifer E.; Swaminathan, Santosh; and Noonan, Kristin, "An Incidentally Found Mass on the Remnant Stomach After a Roux-en-Y Gastric Bypass" (2024). Abington Jefferson Health Papers. Paper 127.
https://jdc.jefferson.edu/abingtonfp/127
PubMed ID
38900191
Language
English
Comments
This article is the author’s final published version in Surgical Case Reports, Volume 10, 2024, Article number 155.
The published version is available at https://doi.org/10.1186/s40792-024-01953-3. Copyright © The Author(s) 2024.
Publication made possible in part by support from the Jefferson Open Access Fund