Gastric Adenocarcinoma Missed at the Incisura Angularis During Initial Endoscopy: A Case Report.
Background: Gastric adenocarcinoma remains a major cause of cancer-related morbidity and mortality worldwide. Early detection is crucial for improving prognosis; however, early lesions may be overlooked during esophagogastroduodenoscopy (EGD), particularly in anatomically challenging areas such as t...
| Publicado en: | Clinical Medicine Insights: Case Reports Vol. 19; pp. 1 - 6 |
|---|---|
| Autores principales: | , , , , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Sage Publications Inc.
7/1/2026
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195035252&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195035252 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11795476 B3KM jtl: Clinical Medicine Insights: Case Reports issn: 11795476 maglogo: Y pubinfo: dt: 7/1/2026 vid: 19 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 195035252 195035252 195035252 10.1177/11795476261466408 195035252 ppf: 1 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Gastric Adenocarcinoma Missed at the Incisura Angularis During Initial Endoscopy: A Case Report. aug: au: Attieh, Philippe Derbas, Bassem El Mustapha, Wael Karam, Karam Fiani, Elias affil: Department of Internal Medicine, University of Balamand, Beirut, Lebanon sug: subj: Stomach Neoplasms Diagnosis Adenocarcinoma Diagnosis Endoscopy, Gastrointestinal Methods Diagnostic Errors Prevention and Control Endoscopy, Digestive System Methods Female Adult Biopsy Methods Early Diagnosis Neoplasm Staging Tomography, X-Ray Computed Positron-Emission Tomography Immunohistochemistry Prognosis Multidisciplinary Care Team Quality Assurance Neoplasm Invasiveness Pathology Precancerous Conditions Pathology Gastroesophageal Reflux Complications Weight Loss Etiology Anemia Etiology Adult: 19-44 years Female ab: Background: Gastric adenocarcinoma remains a major cause of cancer-related morbidity and mortality worldwide. Early detection is crucial for improving prognosis; however, early lesions may be overlooked during esophagogastroduodenoscopy (EGD), particularly in anatomically challenging areas such as the incisura angularis. This region is considered a high-risk site for gastric neoplasia and may act as a blind spot during routine endoscopic evaluation. Case summary: A 38-year-old female with a history of chronic gastroesophageal reflux disease presented with worsening reflux symptoms, postprandial epigastric pain, and recurrent vomiting. Nine months prior, the patient had undergone an EGD for similar symptoms, which showed no significant abnormalities. Despite treatment with proton pump inhibitors, her symptoms progressively worsened and were accompanied by early satiety and an 8-kg unintentional weight loss. A repeat EGD was performed and revealed suspicious ulcerative lesions at the level of the incisura angularis. Multiple biopsies were obtained, and histopathological examination confirmed gastric adenocarcinoma. The patient was subsequently referred for multidisciplinary management and oncological evaluation. Conclusion: This case highlights the potential for gastric adenocarcinoma to be missed during initial endoscopic examination, particularly at the incisura angularis. Careful mucosal inspection and appropriate retroflexion during EGD are essential for improving lesion detection in this high-risk anatomical region. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|