Evaluation of a Patient with Epigastric Pain and Uncommon Synchronous Findings

Abstract

A 64-year-old male patient, with no relevant medical history, presented with subacute epigastric pain. Laboratory tests revealed decreased eosinophils and lymphocytes, with mild thrombocytopenia as the only abnormal finding. Due to dyspeptic symptoms, an upper gastrointestinal endoscopy was performed, which showed two gastric lesions: one in the subcardial region, with regular borders and intact mucosa, and a larger lesion in the distal gastric body, also with preserved mucosa. Based on the endoscopic findings, an abdominal CT with CO2 gastric distension (pneumotomography), including three-dimensional reconstructions, was requested. Additionally, a virtual endoscopy generated through post-processing was performed, allowing for a more precise characterization of the lesions’ morphology, exact location, and growth pattern.