Korean J Gastroenterol.  2009 Aug;54(2):123-125. 10.4166/kjg.2009.54.2.123.

Hemoperitoneum due to Ruptured Gastric Gastrointestinal Stromal Tumor

• Bae JM
• Kim SW

• KMID: 1775967
• DOI: http://doi.org/10.4166/kjg.2009.54.2.123

Abstract

The stomach is the most frequent site of gastrointestinal stromal tumor (GIST). The common clinical manifestation of GIST are melena and hematochezia caused by gastointestinal bleeding. However, hemoperitoneum due to GIST rupture is a very rare condition. We describe a 33-year-old man with gastric GIST causing hemoperitoneum. A preoperative CT scan demonstrated large amount of fluid collection and extraluminal mass lesion in gastric antral area. He underwent an emergent laparotomy. The antral mass was polypoid shaped and showed ruptured focus. We performed a distal gastrectomy. The tumor was revealed as GIST with intermediate malignant risk by pathologic examination. The patient had an uneventful postoperative course and remains well.

Keyword

GIST; Hemoperitoneum; Rupture; Stomach

MeSH Terms

Adult
Gastrointestinal Hemorrhage
Gastrointestinal Stromal Tumors/complications/*diagnosis/surgery
Hemoperitoneum/*diagnosis/etiology
Humans
Male
Tomography, X-Ray Computed

Figure

• 

  Fig. 1. Initial abdominal CT finding showed large amount of fluid collection in abdominal cavity, and extraluminal mass lesion was seen in the gastric antrum (arrow).

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  Fig. 2. Resected specimen of the distal antrum. The polypoid shaped mass was identified in ant. wall of antrum. The mass showed ruptured focus (arrow).

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