Open AccessAn unusual cause of gastrointestinal bleed in patients with liver cirrhosis
Author(s) -
Anand V. Kulkarni,
Manoj Kumar Sharma,
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) - medicine , bleed , 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.