Soonchunhyang Med Sci.  2017 Jun;23(1):52-55. 10.0000/sms.2017.23.1.52.

Hemoperitoneum Caused by a Spontaneously Ruptured Gastrointestinal Stromal Tumor with Cystic Degeneration

• Lee JH

• KMID: 2404879
• DOI: http://doi.org/10.0000/sms.2017.23.1.52

Abstract

A 39-year-old man visited Soonchunhyang University Gumi Hospital with abdominal pain. Abdominal computed tomography showed a large heterogeneously enhancing mass abutting the stomach body and a large amount of fluid collected in the peritoneal cavity. An emergency laparotomy revealed a ruptured large tumor arising from the anterior wall of the middle section of the stomach with bloody fluid in the peritoneal cavity. The patient underwent wedge resection of the tumor. The tumor was 6.5×5.5×4.0 cm in size and 49 g in weight. Immunohistochemical staining demonstrated positivity to C-kit protein, CD34, and S-100 protein. The final diagnosis was gastric gastrointestinal stromal tumor (GIST). Hemoperitoneum caused by a spontaneously ruptured GIST with cystic degeneration is extremely rare.

Keyword

Gastrointestinal stromal tumors; Rupture; Hemoperitoneum

MeSH Terms

Abdominal Pain
Adult
Diagnosis
Emergencies
Gastrointestinal Stromal Tumors*
Gyeongsangbuk-do
Hemoperitoneum*
Humans
Laparotomy
Peritoneal Cavity
Proto-Oncogene Proteins c-kit
Rupture
S100 Proteins
Stomach
Proto-Oncogene Proteins c-kit
S100 Proteins