A spontaneously ruptured gastric stromal tumor with cystic degeneration presenting as hemoperitoneum: a case report.
We report a case of a 38-yr-old man with a spontaneously ruptured gastric stromal tumor presenting as hemoperitoneum in outpatient clinic. He visited our hospital with generalized abdominal pain after abdominal CT scan for the evaluation of the asymptomatic palpable abdominal mass. Repeated abdominal CT scan showed a size decrement of cystic mass compared with the previous abdominal CT scan, and newly developed fluid collection in the left paracolic gutter. An emergency laparotomy revealed a ruptured gastric stromal tumor with bloody fluid in the peritoneal cavity. Immunohistochemical examination revealed positive reactivity to C-kit protein and CD34. The patient presented with hemoperitoneum due to spontaneous rupture of the tumor, which is an extremely rare complication.
Cheon
Young Koog
YK
Department of Internal Medicine, Institute for Digestive Research, Soon Chun Hyang University College of Medicine, Seoul, Korea.
Jung
In Seop
IS
Cho
Young Deok
YD
Kim
Jin Oh
JO
Lee
Joon Seong
JS
Lee
Moon Sung
MS
Kim
Jung Hoon
JH
Hur
Kyung Yul
KY
Jin
So Young
SY
Shim
Chan Sup
CS
D000328:Adult; D018952:Antigens, CD34 / Q000096:biosynthesis; D006465:Hemoperitoneum; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008938:Mitosis; D019009:Proto-Oncogene Proteins c-kit / Q000378:metabolism; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000473:pathology; D013275:Stomach Rupture; D014057:Tomography, X-Ray Computed
D018952:Antigens, CD34; D019009:Proto-Oncogene Proteins c-kit