An unusual cause of gastrointestinal bleed in patients with liver cirrhosis | Zendy

Anand V. Kulkarni | Zendy; Manoj Kumar | Zendy; Kapil Dev Jamwal | Zendy; Asit Arora | Zendy

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An unusual cause of gastrointestinal bleed in patients with liver cirrhosis

Author(s) -

Anand V. Kulkarni,

Manoj Kumar,

Kapil Dev Jamwal,

Asit Arora

Publication year - 2019

Publication title -

bmj case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.231

H-Index - 26

ISSN - 1757-790X

DOI - 10.1136/bcr-2019-229845

Subject(s) - bleed , medicine , gist , cirrhosis , gastroenterology , portal hypertension , upper gastrointestinal bleeding , surgery , endoscopy , stromal cell

Acute upper gastrointestinal (UGI) bleeding in cirrhosis has been classically linked to variceal rupture, although peptic ulcer and portal hypertensive gastropathy-related bleed are not uncommon. Gastrointestinal stromal tumour (GIST) is the most common mesenchymal tumour and may also present as UGI bleed; however, there are no reports of GIST presenting as UGI bleed in patients with cirrhosis. Here, we report three cases of GIST who had presented with UGI bleed and were successfully managed with surgical excision and are tolerating imatinib without recurrence.

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