Spontaneous Rupture of a Gastric Stromal Tumor Causing Hemoperitoneum.
- Author:
Gun Wha LEE
1
;
Young Seok KIM
;
Sang Gyune KIM
;
Bong Min KO
;
Moon Sung LEE
;
Kyu Seok CHO
;
Seong Jin PARK
;
Hee Kyung KIM
Author Information
1. Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. liverkys@schbc.ac.kr
- Publication Type:Case Report
- Keywords:
Gastric stromal tumor;
Hemoperitoneum;
Spontaneous rupture
- MeSH:
Adult;
Angiography;
Arteries;
Endosonography;
Hemoperitoneum;
Humans;
Laparotomy;
Liver;
Muscles;
Peritoneal Cavity;
Rupture, Spontaneous;
Stomach
- From:Gut and Liver
2010;4(2):278-282
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe a 39-year-old man with spontaneous rupture of a gastric stromal tumor causing hemoperitoneum. Ultrasonography showed a large mass broadly abutting the stomach and liver. Computed tomography demonstrated a heterogeneous enhanced mass arising from the stomach and focal perforation of the tumor with hemoperitoneum; endoscopic ultrasonography showed an exophytic heterogeneous mass originating from the gastric muscle layer. Angiography revealed that the right gastric artery was the main artery supplying the tumor. A gastric stromal tumor with bloody fluid in the peritoneal cavity was seen at the laparotomy. The tumor was excised completely, and subsequent histological and immunohistochemical studies indicated that it was a gastric stromal tumor. We report a relatively rare case of gastric stromal tumor causing hemoperitoneum due to spontaneous rupture of the tumor.
