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Case Reports in Pathology
Volume 2012, Article ID 589682, 3 pages
http://dx.doi.org/10.1155/2012/589682
Case Report

Laparoscopic Resection of a Gastric Plasma Cell Granuloma: A Case Report

1Department of Oesophagogastric Surgery, Royal Gwent Hospital, Newport, South Wales NP20 2UB, UK
2Department of HPB Surgery, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK

Received 17 December 2011; Accepted 1 February 2012

Academic Editor: J. J. Cardozo

Copyright © 2012 Christopher Horn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Plasma cell granuloma, also known as inflammatory myofibroblastic tumour or inflammatory pseudotumour, is a nonneoplastic process characterized by an unregulated growth of inflammatory cells. It most commonly occurs in the lung and upper respiratory tract, and only six other cases of gastric plasma cell granuloma exist. There are no other cases of intragastric laparoscopic resection of this type of lesion. Here, we present a case of a 60-year-old gentleman who had gradual onset epigastric discomfort and was thought to have a gastrointestinal stromal tumour on gastroscopy. Subsequent imaging and laparoscopic transgastric resection of the lesion confirmed the presence of a plasma cell granuloma. We discuss the aetiologies, presentation, investigation, and treatment of this rare disorder and make recommendations on the management.