Open AccessA ruptured large extraluminal ileal gastrointestinal stromal tumor causing hemoperitoneum
Author(s) -
Hirokazu Shoji,
Kohei Fujita,
Minoru Matsubara,
Hiromitsu Kanzaki,
Hiromichi Yamane,
Masumi Okuda,
Seiyuu Suzuki,
Atsuko Shirakawa,
Hideyuki Saya
Publication year - 2008
Publication title -
world journal of gastroenterology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.14.2928
Subject(s) - hemoperitoneum , gist , medicine , stromal tumor , laparotomy , radiology , abdominal pain , gastrointestinal tract , pelvis , surgery , stromal cell , pathology
We describe an 87-year-old woman with a large ileal gastrointestinal stromal tumor (GIST) causing hemoperitoneum. A CT scan demonstrated a large heterogeneous mass measuring about 13 cm multiply 11 cm in the pelvis and hemoperitoneum, with a non-uniform enhancement pattern. The mass was diagnosed as a GIST originating from the gastrointestinal tract. She underwent an urgent laparotomy and an ileal GIST with a rupture was found 130 cm from the anal to the Treitz's ligament. Hemoperitoneum caused by ileal GIST rupture is a rare condition. Bleeding in the large tumor leading to rupture of the capsule might cause hemoperitoneum in the present case.