[Hemoperitoneum due to ruptured gastric gastrointestinal stromal tumor].
The stomach is the most frequent site of gastrointestinal stromal tumor (GIST). The common clinical manifestation of GIST are melena and hematochezia caused by gastointestinal bleeding. However, hemoperitoneum due to GIST rupture is a very rare condition. We describe a 33-year-old man with gastric GIST causing hemoperitoneum. A preoperative CT scan demonstrated large amount of fluid collection and extraluminal mass lesion in gastric antral area. He underwent an emergent laparotomy. The antral mass was polypoid shaped and showed ruptured focus. We performed a distal gastrectomy. The tumor was revealed as GIST with intermediate malignant risk by pathologic examination. The patient had an uneventful postoperative course and remains well.
Bae
Jung Min
JM
Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
Kim
Se Won
SW
D000328:Adult; D006471:Gastrointestinal Hemorrhage; D046152:Gastrointestinal Stromal Tumors / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006465:Hemoperitoneum / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed