Exophytic inflammatory myofibroblastic tumor of the stomach in an adult woman: a rare cause of hemoperitoneum.
Inflammatory myofibroblastic tumor (IMT) of the stomach in adults is extremely rare, with unpredictable prognosis. We present a 55-year-old woman with a gastric IMT. She experienced sudden abdominal pain 4 d previously. Physical examination showed mild abdominal tenderness in the hypogastrium, but no palpable abnormal abdominal mass. Abdominal CT showed a mass of approximately 8 cm in the gastrocolic ligament. On laparoscopic exploration, unexpected hemoperitoneum of approximately 1.5 L of blood was found, and an exophytic gastric mass of approximately 10 cm, appeared from the anterior wall of the gastric body along the greater curvature. Laparoscopy further showed that non-clotting blood in the abdominal cavity seemed to be from the gastric tumor. After conversion to open surgery for more precise evaluation of the cause of hemoperitoneum and the large friable tumor, gastric wedge resection, including the tumor, was conducted. The final diagnosis was consistent with IMT that originated from the gastric wall.
Park
Seong-Heum
SH
Department of Surgery, Korea University Medical Center-Ansan Hospital, Korea University College of Medicine, 516 Gojan-Dong, Danwon-Gu, Ansan City, Kyungki-Do 425-707, Korea.
Kim
Jong-Han
JH
Min
Byung Wook
BW
Song
Tae Jin
TJ
Son
Gil Soo
GS
Kim
Seung Joo
SJ
Lee
Sang Woo
SW
Chung
Hwan-Hoon
HH
Lee
Ju Han
JH
Um
Jun Won
JW
D015746:Abdominal Pain / Q000209:etiology / Q000473:pathology / Q000601:surgery; D005260:Female; D006104:Granuloma, Plasma Cell / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006465:Hemoperitoneum / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D013272:Stomach Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery