title: Traumatic rupture of a gastrointestinal stromal tumour with intraperitoneal bleeding and haematoma formation.
abstract: A 40-year-old man presented with acute abdominal pain and falling haemoglobin after a history of minor abdominal trauma. Radiological imaging showed a large soft tissue mass situated between the anterior stomach wall and peritoneum. At diagnostic laparoscopy, intra-abdominal blood and an encapsulated haematoma were found. The procedure was converted to midline laparotomy and the mass was excised, including a stalk of tissue that connected the mass to the anterior prepyloric stomach wall. The patient recovered well and was discharged after 9 days. Histology confirmed a gastrointestinal stromal tumour surrounded by haematoma formation.
authors: University Hospitals of Morecambe Bay NHS Trust, Lancaster, UK. dr.ahmedmalik@gmail.com
authors: Ahmed
authors: A
authors: Mohamed
authors: Ewen A
authors: EA
authors: Griffiths
authors: Marek
authors: M
authors: Witkowski
authors: Katarzyna
authors: K
authors: Witkowska
authors: Chris S
authors: CS
authors: Ball
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis; D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000328:Adult; D001707:Biopsy, Needle; D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D005770:Gastrointestinal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D046152:Gastrointestinal Stromal Tumors / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007150:Immunohistochemistry; D015601:Injury Severity Score; D010535:Laparoscopy / Q000379:methods; D007813:Laparotomy / Q000379:methods; D008297:Male; D011859:Radiography; D018570:Risk Assessment; D012421:Rupture / Q000601:surgery; D016896:Treatment Outcome