Abstract

A 60-year-old woman presented to our department complaining of upper abdominal pain for 2 weeks. She had a past medical history of cholecystectomy. Gastroscopy showed a 3 × 3 × 3 cm3 protuberant lesion with a smooth surface and a soft texture in the duodenal bulb (Fig. 1A). The possibility of submucosal lesion wasconsidered. No further inspections were taken, such as computed tomography, magnetic resonance cholangiopancreatography, endoscopic ultrasonography (EUS) and so on. Then the patient underwent an endoscopic surgery and the lesion was resected totally by endoscopic snare (Fig.

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