Published date: Jun 25 2020

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 15 (2020), Issue No. 2

Pages: 124 – 130

DOI: 10.18502/sjms.v15i2.6579

Opeyemi Bamideleopebamidele097@gmail.comDalhatu araf Specialist Hospital

Matthew Olumuyiwa Bojuwoyebojuwoyem26@yahoo.comUniversity of Ilorin Teaching Hospital, Ilorin

Consultant Physician/Gastroenterologist

Mudashiru Lawaldrlawalm@gmail.comDalhatu araf Specialist Hospital

Consultant Pathologist

Ruth Adabe Belloruthadabe@yahoo.co.ukFederal Medical Centre, Keffi

Consultant Physician/Gastroenterologist

Background: Gastric adenomyoma (GA) is a rare benign lesion comprising of ducts and glands embedded in smooth muscle stroma. Thirty-seven (37) cases of GA were identified until 1993, however, only 15 cases are said to have been reported from 1993 to 2016. Esophagogastroscopy has been widely used in evaluating GA. However, the diagnosis of GA remains exclusively histological.

Case: We report a 26-year-old Nigerian woman who presented with recurrent dyspepsia with her endoscopic findings suggestive of GA. GA was confirmed by histology, and she was managed conservatively.

Conclusion: This report will contribute to creating awareness of this uncommon condition and also reminding physicians in considering GA as a possible differential of dyspepsia.

Keywords: gastric, adenomyoma, dyspepsia, endoscopy, Nigerian, woman

1. Ulich, T., Kollin, M., Simmons, G., et al. (1987). Adenomyoma of the Papilla of Vater. Arch Path Lab Med, vol. 111, no. 4, pp. 388–390.
2. Magnus-Alsleben, E. (1903). Adenomyome des pylorus. Virchows Arch, vol. 173, pp. 137–155.
3. Erberich, H., Handt, S., Mittermayer, C., et al. (2000). Simultaneous appearance of an adenomyoma and pancreatic heterotopia of the stomach. Virchows Arch, vol. 436, no. 2, pp. 172–174.
4. Álvarez, M. A. D., López, J. R. G., and Garijo, T. G. (2017). Gastric adenomyoma: the unexpected mimicker. GE Port J Gastroenterol, vol. 24, no. 4, pp. 198–202.
5. Vandelli, A., Cariani, G., Bonora, G., et al. (1993). Adenomyoma of the stomach. Surg Endosc, vol. 7, no. 3, pp. 185–187.
6. Ormarsson, O. T., Gudmundsdottir, I., and Mårvik, R. (2006). Diagnosis and treatment of gastric heterotopic pancreas. World J Surg, vol. 30, no. 9, pp. 1682–1689.
7. Suma, M., Jayalakshmy, P., Resna, R., et al. (2016). Gastric adenomyoma causing outlet obstruction. Oncol Gastroenterol Hepatol Rep, vol. 5, no. 1, p. 45.
8. Yoon, K. H., Eun, D. Y., Kim, J. H., et al. (2014). Gastric adenomyoma in the stomach body: a case report. J Med Case Rep, vol. 8, no. 1, p. 385.
9. Sanchez Garcia, S., Rubio Solis, D., Anes Gonzalez, G., et al. (2016). [Gastric adenomyoma clinically simulating hypertrophic pyloric stenosis]. Radiologia, vol. 58, no. 2, pp. 148–151.
10. Park, H. S., Lee, S. O., Lee, J. M., et al. (2003). Adenomyoma of the small intestine: report of two cases and review of the literature. Pathol Int, vol. 53, no. 2, pp. 111–114.
11. Zhu, H.-N., Yu, J.-P., Luo, J., et al. (2010). Gastric adenomyoma presenting as melena: a case report and literature review. World J Gastroenterol, vol. 16, no. 15, p. 1934.
12. Ly, D. P., Barnard, N. J., and Schwarz, R. E. (2004). Gastric adenomyoma: definitely benign or defiantly premalignant? Digest Dis Sci, vol. 49, no. 11–12, pp. 1930–1934.
13. Chu, K. (2002). Endosonographic appearance of gastric adenomyoma. Endoscopy, vol. 34, no. 8, p. 682.
14. Kerkez, M. D., Lekic, N. S., Culafic, D. M., et al. (2011).Gastric Adenomyoma. Vojnosanit Pregl, vol. 68, no. 6, pp. 519–522.
15. Wang, S., Cao, H., Zhang, Y., et al. (2017). Endoscopic submucosal dissection for gastric adenomyoma: a rare entity of 15 cases among 571 patients with gastric submucosal eminence lesions. Medicine, vol. 96, no. 9.