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A 74−year−old man with severe anemia underwent gastrointestinal endoscopy, which revealed an area of ulceration, 2.5 cm in diameter, on the anterior wall of the upper gastric body (Figure 1). Ab− dominal computed tomography showed a solid extraluminal gastric tumor that extended to the left subphrenic space. Biopsies were taken from the bottom of the ulcer using standard biopsy forceps. After this procedure, the patient devel− oped sepsis and the anaerobic bacterium, Clostridium perfringens was isolated from his blood cultures. Computed tomog− raphy was repeated on day 7 after the en− doscopic biopsy and this revealed a closed abscess with a fluid level in the extralum− inal gastric tumor (Figure 2).

Abscess formation in a giant gastrointestinal stromal tumor of the stomach following endoscopic biopsy