A Case of Gastrointestinal Stromal Tumor Mistaken for Abscess Following Embolization of Superior Mesenteric Artery.
10.7704/kjhugr.2012.12.4.260
- Author:
Sunghun KIM
1
;
Sang Jin LEE
;
Jang Hoon KWON
;
Woo Sung CHANG
;
Man Yong HONG
;
Hyunwoong SEO
;
Hyun Il SEO
Author Information
1. Department of Internal Medicine, Gangneung Asan Hospital, Ulsan University College of Medicine, Gangneung, Korea. sangjin@naver.com
- Publication Type:Case Report
- Keywords:
Embolization;
Gastrointestinal stromal tumor;
Abscess
- MeSH:
Abscess;
Aged;
Duodenum;
Emergencies;
Endoscopy;
Female;
Gastrointestinal Hemorrhage;
Gastrointestinal Stromal Tumors;
Hematemesis;
Hemorrhage;
Hemostasis;
Humans;
Ischemia;
Jejunum;
Laparotomy;
Ligaments;
Mesenteric Artery, Superior;
Necrosis
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2012;12(4):260-264
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bowel ischemia following embolization is the major complication of arterial embolization in gastrointestinal bleeding. Although mild ischemia recovers with conservative treatment, perforation should be treated surgically. We report a case of gastrointestinal stromal tumor mistaken for an abscess following embolization of superior mesenteric artery. A 72-year-old female was referred to the emergency room complaining of hematochezia and hematemesis. Endoscopic examination revealed a tiny mucosal defect with spurting bleeding at distal duodenum. Hemostasis could be achieved by embolization of superior mesenteric artery. After ten days, abdominal CT scan showed an abscess-like feature around distal duodenum, but the small bowel series did not show leakage of contrast. Endoscopy revealed round intestinal wall defect. She underwent laparotomy owing to the possibility of perforation and abscess, but surgical findings showed 5 cm mass based on the jejunum just caudal to ligament of Treitz. The mass was finally diagnosed as gastrointestinal stromal tumor combined with necrosis.
