[Extramural Gastral GIST Manifested by Spontaneous Perforation with Acute Intraabdominal Bleeding and Haemoperitoneum].
We report on the case of a 38-year-old male patient with a huge extramural gastrointestinal stromal tumour (GIST) of the stomach, located in the left upper and middle abdominal cavity that was diagnosed on the basis of a spontaneous -rupture and consecutive haemoperitoneum. The lesion was resected completely in an emergency operation. The tumour was classified as a high-risk lesion for aggressive biological behaviour and with regard to tumour rupture with perforation of the serosa, an adjuvant systemic therapy was indicated.
Sprenger
T
T
Universitätsmedizin Göttingen, Allgemein- und Viszeralchirurgie, Robert-Koch-Str.40, 37075Göttingen, Deutschland. tsprenger@chirurgiegoettingen.de
Liersch
T
T
Rothe
H
H
Schulze
F P
FP
Homayounfar
K
K
Ghadimi
B M
BM
Becker
H
H
Langer
C
C
D000328:Adult; D003937:Diagnosis, Differential; D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D046152:Gastrointestinal Stromal Tumors / Q000098:blood supply / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006465:Hemoperitoneum / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D011379:Prognosis; D012422:Rupture, Spontaneous; D013270:Stomach / Q000473:pathology; D013274:Stomach Neoplasms / Q000098:blood supply / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D013275:Stomach Rupture / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed