A 57 year old male patient presented to our hospital with vomiting, epigastric discomfort, and loss of appetite over a 24hr period. Subsequent investigations demonstrated a submucosal lesion causing gastric outlet obstruction. The patients deteriorating condition mandated laparotomy and a pathologic diagnosis was made of a pyloric submucosal fibroepithelial lesion from the resected distal stomach and adherent transverse colon; no malignant features were found. This is to our knowledge the first instance of a fibroepithelial neoplasm occurring within the gastrointestinal tract.
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