title: [Extramural Gastral GIST Manifested by Spontaneous Perforation with Acute Intraabdominal Bleeding and Haemoperitoneum].
abstract: 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.
authors: Universitätsmedizin Göttingen, Allgemein- und Viszeralchirurgie, Robert-Koch-Str.40, 37075Göttingen, Deutschland. tsprenger@chirurgiegoettingen.de
authors: T
authors: T
authors: Sprenger
authors: T
authors: T
authors: Liersch
authors: H
authors: H
authors: Rothe
authors: F P
authors: FP
authors: Schulze
authors: K
authors: K
authors: Homayounfar
authors: B M
authors: BM
authors: Ghadimi
authors: H
authors: H
authors: Becker
authors: C
authors: C
authors: Langer
mesh_terms: 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