A Case of a Gastric Gastrointestinal Stromal Tumor with a Fistula and Gastrointestinal Bleeding.
- Author:
Jin Ho LEE
1
;
Jung Youn MOON
;
Hyun Jung KIM
;
Jung Eun HUH
;
Jong Ryul PARK
;
Hye Jung JANG
;
Ji Hoon YOON
;
Seung Keun PARK
;
Hee Ug PARK
;
Hye Sook KIM
Author Information
1. Department of Internal Medicine, Maryknoll Medical Center, Busan, Korea. drhwpark@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
GIST;
Fistula
- MeSH:
Abdominal Pain;
Abscess;
Aged, 80 and over;
Biopsy;
Fever;
Fistula*;
Gastrointestinal Stromal Tumors*;
Hemorrhage*;
Humans;
Prognosis;
Stomach;
Tomography, X-Ray Computed
- From:Korean Journal of Gastrointestinal Endoscopy
2007;35(5):337-341
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
There has been much debate on the origin, differentiation and prognosis of gastrointestinal stromal tumors (GIST). Based on recent studies, we consider Cajal interstitial cell as the origin of a GIST. The common symptoms of a GIST are abdominal pain, hemorrhage, and the presence of a mass. However, there are few reported cases of a GIST with abscess pockets that communicate with the lumen of the stomach via a fistula. We report a case of a GIST of the stomach presenting with an abscess and a fistula communicating with the lumen of the stomach. An 84-year-old man presented with continuous fever and general weakness. We were able to diagnose the disease by an endoscopic examination, CT scan, biopsy and by cellular immunohistochemical staining.