case_images: PMC4377230_01
case_images: EGD findings at the time of diagnosis. EGD showed an approximately 1.5-cm flat elevated lesion on the angle (arrow); the biopsy result was adenoma with low-grade dysplasia.
case_images: crg-0009-0062-g01.jpg
case_images: PMC4377230_01_crg-0009-0062-g01.jpg
case_images: F1
case_images: Follow-up EGD 3 months later showed an approximately 1.5-cm flat elevated lesion on the angle (fig. 1).
case_images: APC was carried out for removal of the lesion. EGD demonstrated esophageal hiatal hernia (a, arrow) and gastric atrophy (b). Furthermore, a 1.5-cm flat elevated lesion was detected on the angle. APC was carried out for removal of the lesion (c), which was confirmed to be an adenoma with low-grade dysplasia.
case_images: crg-0009-0062-g02.jpg
case_images: PMC4377230_01_crg-0009-0062-g02.jpg
case_images: F2
case_images: Argon plasma coagulation (APC) was carried out for removal of the lesion, which was confirmed to be an adenoma with low-grade dysplasia (fig. 2).
case_images: EGD was performed the day after APC to confirm treatment of the lesion. Although significant bleeding and perforation were not observed (a) and the patient was adequately sedated with midazolam (3 mg) without struggling or vomiting during EGD, longitudinal gastric laceration with perforation (arrow) was detected on the corpus to cardia (b).
case_images: crg-0009-0062-g03.jpg
case_images: PMC4377230_01_crg-0009-0062-g03.jpg
case_images: F3
case_images: Although significant bleeding and perforation were not observed and the patient was adequately sedated with midazolam (3 mg) without struggling or vomiting during EGD, longitudinal gastric laceration with perforation was detected on the corpus to cardia (fig. 3).