Severe upper gastrointestinal bleeding from gastrointestinal stromal tumor of the stomach.
Gastrointestinal stromal tumor (GIST) is a mesenchymal tumor originating from the Cajal interstitial cells, immunologically characterized by the c-kit gene. The evolution may be asymptomatic, discovered by chance during a necropsy, upper gastrointestinal endoscopy or due to complications of type-algic, occlusive or hemorrhage. We present the case of a voluminous gastric GIST complicated with serious upper gastrointestinal bleeding in a patient with multiple hard associated diseases, undergoing an emergency surgery in hemorrhagic shock. The surgery consisted in the resection of the upper polar esogastric, the pathological and immunohistochemistry tests confirming the diagnosis of GIST. The evolution was unfavorable at discharge after 45 days after surgery by an anastomotic fistula.
Department of Surgery, University of Medicine and Pharmacy of Craiova, Romania; dmargaritescu@yahoo.com.
LaurenŢiu Augustus
LA
Barbu
Nicolae Dragoş
ND
Mărgăritescu
Mirela Corina
MC
Ghiluşi
Daniel
D
Belivacă
Eugen Florin
EF
Georgescu
Ştefan Mugurel
ŞM
Ghelase
Daniela
D
Marinescu
D000368:Aged; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology; D046152:Gastrointestinal Stromal Tumors / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male