Fatal Small Bowel Bleeding with very Low Risk Gastrointestinal Stromal Tumor in Jejunum.
10.12771/emj.2015.38.2.72
- Author:
Jae Bin KANG
1
;
Jae Myung CHA
;
Joung Il LEE
;
Kwang Ro JOO
;
In Taik HONG
;
Hye Jin KI
Author Information
1. Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. drcha@khu.ac.kr
- Publication Type:Case Report
- Keywords:
Jejunum;
Small bowel;
Neoplasm;
Gastrointestinal stromal tumor;
Bleeding
- MeSH:
Adult;
Female;
Gastrointestinal Stromal Tumors*;
Hemorrhage*;
Humans;
Jejunum*;
Melena
- From:The Ewha Medical Journal
2015;38(2):72-75
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastrointestinal stromal tumor (GIST) is the most common mesenchymal neoplasm of the gastrointestinal (GI) tract. These tumors are frequently small, asymptomatic and found incidentally. GI bleeding is a common complication of these tumors, but small sized, very low risk GIST rarely complicated with fatal bleeding. In this report, we describe a 42-year-old woman with a jejunal GIST accompanied by severe GI bleeding. She presented with melena and an angiographic embolization was performed for a jejunal mass with bleeding. However, rebleeding was suspected after an angiographic embolization and an emergent segmental resection for the bleeding mass was performed. She was finally diagnosed as a 1.8 cm sized very low risk GIST in jejunum. In conclusion, physician should consider that even very low risk GIST can be the cause of GI bleeding when there is severe bleeding.
