Korean J Gastrointest Endosc.  2005 Aug;31(2):121-125.

A Case of Duodenal Gastrointestinal Stromal Tumor Presenting with Gastrointestinal Bleeding

Affiliations
  • 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. jns9608@naver.com

Abstract

Gastrointestinal stromal tumor (GIST) is the most common non-epithelial tumor of the gastrointestinal tract. GISTs are most common in the stomach, followed by small intestine, colon and rectum, and esophagus. We report a case of duodenal GIST presenting with gastrointestinal bleeding in a 53-year-old male. Upper gastrointestinal endoscopy revealed a protruded mass with central ulceration on the second portion of the duodenum. Spontaneous spurting blood was encountered from the central ulcer of the mass. Abdominal computed tomography scan and celiac angiography revealed hypervascular tumor, located in the second portion of the duodenum. Laparotomy with wedge resection was performed. Histological and immunohistochemical studies on resected specimen revealed a duodenal GIST of a combined smooth muscle and neural type.

Keyword

Gastrointestinal stromal tumor (GIST); Duodenum; Gastrointestinal bleeding

MeSH Terms

Angiography
Colon
Duodenum
Endoscopy, Gastrointestinal
Esophagus
Gastrointestinal Stromal Tumors*
Gastrointestinal Tract
Hemorrhage*
Humans
Intestine, Small
Laparotomy
Male
Middle Aged
Muscle, Smooth
Rectum
Stomach
Ulcer
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