To analyze the clinical and imaging data of 2 cases of gastric fundus disease misdiagnosed as left adrenal disease in our department in recent years, and analyze the causes of misdiagnosis combined with literature reports, so as to reduce the misdiagnosis rate and improve the diagnostic accuracy.

The clinical data, especially the imaging data of 1 case of gastric fundus diverticulum misdiagnosed as left adrenal cyst and 1 case of gastric stromal tumor misdiagnosed as left adrenal tumor were analyzed retrospectively.

The clinical manifestations of patients with gastric fundus diverticulum and gastric stromal tumor misdiagnosed as left adrenal cyst and tumor had no specificity, especially in patients with solid tumor complicated with hypertension, it was easy to cause misdiagnosis. Special attention should be paid to the imaging data of patients before operation, which can provide important reference information.

Although incidence rate of gastric fundus diseases such as gastric diverticulum and gastric stromal tumor is low, the clinical manifestations are not typical. But the location of tumor is high and the adhesion with gastric wall is found. The diagnosis of gastric fundus diseases should be highly suspected. Gastroscopy and upper gastrointestinal tract examinations should be performed further. Transperitoneal laparoscopic surgery can deal with gastric fundus disease calmly and avoid the need to change the position and route of operation in retroperitoneal approach.