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Spontaneous rupture of extraluminal jejunal gastrointestinal stromal tumor causing acute abdomen and hemoperitoneum.
Ulus Cerrahi Derg. 2015; 31(2):99-101.UC

Abstract

Tumor perforation is accepted as an important prognostic factor along with tumor size and mitotic index in gastrointestinal stromal tumors (GIST). The prognosis is worse in patients with tumor perforation or rupture. A few case reports of small bowel GIST presenting with rupture have been published in the medical literature. We report an unusual case of a 7.5 cm GIST of the jejunum that presented with spontaneous rupture. A previously healthy 46-year-old male patient presented with sudden abdominal pain. Physical examination revealed overt peritonitis, and computed tomography showed a heterogeneous solid mass measuring approximately 6 cm × 5.5 cm arising from the jejunum and massive fluid in the peritoneum. The mass was diagnosed as a GIST originating from the gastrointestinal tract. Emergency laparotomy was performed and intraoperative findings showed massive hemoperitoneum and an outgrowing mass at the jejunum, 50 cm distal to the Treitz ligament. The tumor had ruptured near the wall of the small intestine and it was actively bleeding. Surgical resection of the tumor was performed and the patient was discharged home uneventfully on the third postoperative day. The immunohistochemical characteristics of the tumor revealed it to be a GIST.

Authors+Show Affiliations

Department of General Surgery, Marmara University Faculty of Medicine, İstanbul, Turkey.Department of General Surgery, Marmara University Faculty of Medicine, İstanbul, Turkey.Department of General Surgery, Marmara University Faculty of Medicine, İstanbul, Turkey.Department of Pathology, Marmara University Faculty of Medicine, İstanbul, Turkey.Department of General Surgery, Marmara University Faculty of Medicine, İstanbul, Turkey.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

26170759

Citation

Attaallah, Wafi, et al. "Spontaneous Rupture of Extraluminal Jejunal Gastrointestinal Stromal Tumor Causing Acute Abdomen and Hemoperitoneum." Ulusal Cerrahi Dergisi, vol. 31, no. 2, 2015, pp. 99-101.
Attaallah W, Coşkun Ş, Özden G, et al. Spontaneous rupture of extraluminal jejunal gastrointestinal stromal tumor causing acute abdomen and hemoperitoneum. Ulusal cerrahi dergisi. 2015;31(2):99-101.
Attaallah, W., Coşkun, Ş., Özden, G., Mollamemişoğlu, H., & Yeğen, C. (2015). Spontaneous rupture of extraluminal jejunal gastrointestinal stromal tumor causing acute abdomen and hemoperitoneum. Ulusal Cerrahi Dergisi, 31(2), 99-101. https://doi.org/10.5152/UCD.2015.2877
Attaallah W, et al. Spontaneous Rupture of Extraluminal Jejunal Gastrointestinal Stromal Tumor Causing Acute Abdomen and Hemoperitoneum. Ulusal cerrahi dergisi. 2015;31(2):99-101. PubMed PMID: 26170759.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spontaneous rupture of extraluminal jejunal gastrointestinal stromal tumor causing acute abdomen and hemoperitoneum. AU - Attaallah,Wafi, AU - Coşkun,Şafak, AU - Özden,Gülden, AU - Mollamemişoğlu,Hande, AU - Yeğen,Cumhur, Y1 - 2015/06/01/ PY - 2014/08/24/received PY - 2014/11/03/accepted PY - 2015/7/15/entrez PY - 2015/7/15/pubmed PY - 2015/7/15/medline KW - Gastrointestinal stromal tumor KW - acute abdomen KW - hemoperitoneum KW - rupture SP - 99 EP - 101 JF - Ulusal cerrahi dergisi VL - 31 IS - 2 N2 - Tumor perforation is accepted as an important prognostic factor along with tumor size and mitotic index in gastrointestinal stromal tumors (GIST). The prognosis is worse in patients with tumor perforation or rupture. A few case reports of small bowel GIST presenting with rupture have been published in the medical literature. We report an unusual case of a 7.5 cm GIST of the jejunum that presented with spontaneous rupture. A previously healthy 46-year-old male patient presented with sudden abdominal pain. Physical examination revealed overt peritonitis, and computed tomography showed a heterogeneous solid mass measuring approximately 6 cm × 5.5 cm arising from the jejunum and massive fluid in the peritoneum. The mass was diagnosed as a GIST originating from the gastrointestinal tract. Emergency laparotomy was performed and intraoperative findings showed massive hemoperitoneum and an outgrowing mass at the jejunum, 50 cm distal to the Treitz ligament. The tumor had ruptured near the wall of the small intestine and it was actively bleeding. Surgical resection of the tumor was performed and the patient was discharged home uneventfully on the third postoperative day. The immunohistochemical characteristics of the tumor revealed it to be a GIST. SN - 1300-0705 UR - https://www.unboundmedicine.com/medline/citation/26170759/Spontaneous_rupture_of_extraluminal_jejunal_gastrointestinal_stromal_tumor_causing_acute_abdomen_and_hemoperitoneum_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/26170759/ DB - PRIME DP - Unbound Medicine ER -
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