scholarly journals Rare gastrointestinal stromal tumor in an ileal conduit detected by recurrent massive bleeding from the stoma

2020 ◽  
Vol 3 (5) ◽  
pp. 207-210 ◽  
Author(s):  
Michio Noda ◽  
Yukimasa Matsuzawa ◽  
Hiroaki Nishimatsu ◽  
Shinichiro Murayama ◽  
Hirohisa Kishi ◽  
...  
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Ileal Conduit ◽  
Massive Bleeding ◽  
Stromal Tumor

scholarly journals A massive bleeding from a gastrointestinal stromal tumor of a Meckel’s diverticulum

2016 ◽  
Vol 144 (3-4) ◽  
pp. 219-221 ◽  
Author(s):  
Mariusz Chabowski ◽  
Anna Szymanska-Chabowska ◽  
Tadeusz Dorobisz ◽  
Dawid Janczak ◽  
Michał Jelen ◽  
...  
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Intestinal Tract ◽  
Final Diagnosis ◽  
Massive Bleeding ◽  
Stromal Tumor ◽  
Uneventful Recovery ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
Gastro Intestinal Tract ◽  
Adequate Method

Introduction. Meckel?s diverticulum is the most common congenital anomaly of the gastro intestinal tract, present in about 2% of population. Case Outline. The article presents the case of a 44-year-old otherwise healthy man with anemia, who was diagnosed lower gastrointestinal bleeding. An abdominal CT scan revealed a clearly demarcated solid tumor in hypogastric region, measuring 65 ? 45 mm. A laparotomy through lower midline incision was performed. A surgical resection of a lesion of a Meckel?s diverticulum was carried out and a final diagnosis of gastrointestinal stromal tumor was made. The patient made an uneventful recovery. Conclusion. The preoperative diagnosis of a complicated Meckel?s diverticulum may be challenging. CT is usually an adequate method to diagnose tumors arising from Meckel?s diverticulum.

scholarly journals Life-threatening bleeding with intussusception due to gastrointestinal stromal tumor: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Min Sung Kim ◽  
In Teak Woo ◽  
Young Min Jo ◽  
Jin Hyung Lee ◽  
Byung Sam Park
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Rare Case ◽  
Massive Bleeding ◽  
Stromal Tumor ◽  
Emergency Laparotomy ◽  
Immunochemical Analysis ◽  
Case Presentation ◽  
Rare Finding ◽  
Low Blood Pressure ◽  
Life Threatening

Abstract Background Massive intraluminal bleeding requires urgent intervention and management. However, the source of bleeding on the small intestine is difficult to determine. Intestinal tumor with intussusception is a rare and normally not an urgent condition. Herein, we present a rare case of intestinal intussusception with massive bleeding due to jejunal gastrointestinal stromal tumor (GIST) that required emergency surgical treatment. Case presentation A 51-year-old male was admitted to the emergency department complaining of abdominal pain and acute hematochezia. Esophagogastroduodenoscopy (EGD) and colonoscopy could not determine the source of the bleeding site. Abdominal pelvic computed tomography (AP-CT) revealed GIST with intussusception, strongly suggestive of distal jejunal bleeding. Unresponsive transfusion with low blood pressure and continuous hematochezia led to emergency laparotomy. GIST, which was the leading point for intussusception, was located in the jejunum and showed mucosal ulceration of approximately 3.5 cm in diameter. Following resection and functional anastomosis, histology revealed a GIST with low mitotic count (< 5 per 50HPF). Moreover, immunochemical analysis revealed positivity for c-kit (CD117) and DOG-1. There were no complications 2 months after surgery. Conclusions Intussusception associated with GIST is a rare finding that can be life-threatening if it occurs with an ulcer. This case showed that the early detection of bleeding and emergency surgery could prevent severe complications.

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