J Korean Med Sci.
2003 Oct;18(5):751-755. 10.3346/jkms.2003.18.5.751.
A Spontaneously Ruptured Gastric Stromal Tumor with Cystic Degeneration Presenting as Hemoperitoneum: A Case Report
- Affiliations
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- 1Department of Internal Medicine, Institute for Digestive Research, Soon Chun Hyang University College of Medicine, Seoul, Korea. schidr@hosp.sch.ac.kr
- 2Department of Radiology, Soon Chun Hyang University College of Medicine, Seoul, Korea.
- 3Department of Surgery, Soon Chun Hyang University College of Medicine, Seoul, Korea.
- 4Department of Anatomic Pathology, Soon Chun Hyang University College of Medicine, Seoul, Korea.
- KMID: 1130051
- DOI: http://doi.org/10.3346/jkms.2003.18.5.751
Abstract
- We report a case of a 38-yr-old man with a spontaneously ruptured gastric stromal tumor presenting as hemoperitoneum in outpatient clinic. He visited our hospital with generalized abdominal pain after abdominal CT scan for the evaluation of the asymptomatic palpable abdominal mass. Repeated abdominal CT scan showed a size decrement of cystic mass compared with the previous abdominal CT scan, and newly developed fluid collection in the left paracolic gutter. An emergency laparotomy revealed a ruptured gastric stromal tumor with bloody fluid in the peritoneal cavity. Immunohistochemical examination revealed positive reactivity to C-kit protein and CD34. The patient presented with hemoperitoneum due to spontaneous rupture of the tumor, which is an extremely rare complication.
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