scholarly journals Life-threatening bleeding with intussusception due to gastrointestinal stromal tumor: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Min Sung Kim ◽  
In Teak Woo ◽  
Young Min Jo ◽  
Jin Hyung Lee ◽  
Byung Sam Park
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Rare Case ◽  
Massive Bleeding ◽  
Stromal Tumor ◽  
Emergency Laparotomy ◽  
Immunochemical Analysis ◽  
Case Presentation ◽  
Rare Finding ◽  
Low Blood Pressure ◽  
Life Threatening

Abstract Background Massive intraluminal bleeding requires urgent intervention and management. However, the source of bleeding on the small intestine is difficult to determine. Intestinal tumor with intussusception is a rare and normally not an urgent condition. Herein, we present a rare case of intestinal intussusception with massive bleeding due to jejunal gastrointestinal stromal tumor (GIST) that required emergency surgical treatment. Case presentation A 51-year-old male was admitted to the emergency department complaining of abdominal pain and acute hematochezia. Esophagogastroduodenoscopy (EGD) and colonoscopy could not determine the source of the bleeding site. Abdominal pelvic computed tomography (AP-CT) revealed GIST with intussusception, strongly suggestive of distal jejunal bleeding. Unresponsive transfusion with low blood pressure and continuous hematochezia led to emergency laparotomy. GIST, which was the leading point for intussusception, was located in the jejunum and showed mucosal ulceration of approximately 3.5 cm in diameter. Following resection and functional anastomosis, histology revealed a GIST with low mitotic count (< 5 per 50HPF). Moreover, immunochemical analysis revealed positivity for c-kit (CD117) and DOG-1. There were no complications 2 months after surgery. Conclusions Intussusception associated with GIST is a rare finding that can be life-threatening if it occurs with an ulcer. This case showed that the early detection of bleeding and emergency surgery could prevent severe complications.

scholarly journals Life-threatening bleeding of a duodenal gastrointestinal stromal tumor in a teenager: a rare case report

2016 ◽  
Vol 04 (12) ◽  
pp. E1244-E1246 ◽  
Author(s):  
Piero Valli ◽  
Carlo Valli ◽  
Thomas Pfammatter ◽  
Peter Bauerfeind
Keyword(s):  
Case Report ◽  
Gastrointestinal Stromal Tumor ◽  
Rare Case ◽  
Stromal Tumor ◽  
Rare Case Report ◽  
Life Threatening

scholarly journals Gastric schwannoma: a benign tumor often misdiagnosed as gastrointestinal stromal tumor

2015 ◽  
Vol 5 (3) ◽  
Author(s):  
Apurva S. Shah ◽  
Pravin M. Rathi ◽  
Vaibhav S. Somani ◽  
Astha M. Mulani
Keyword(s):  
Differential Diagnosis ◽  
Gastrointestinal Stromal Tumor ◽  
Gastrointestinal Stromal Tumors ◽  
Rare Case ◽  
Benign Tumor ◽  
Stromal Tumor ◽  
Mesenchymal Tumors ◽  
Stromal Tumors ◽  
Gastric Schwannoma ◽  
Gastric Mass

Gastric schwannomas are rare mesenchymal tumors that arise from the nerve plexus of gut wall. They present with nonspecific symptoms and are often detected incidentally. Preoperative investigation is not pathognomic and many are therefore misdiagnosed as gastrointestinal stromal tumors. We report a rare case of a 37-year old woman who underwent laparotomy for complex bilateral ovarian cyst with resection of gastric-gastrointestinal stromal tumor preoperatively, but confirmed to have a gastric schwannomas postoperatively. This case underscores the differential diagnosis of submucosal, exophytic gastric mass as schwannoma.

scholarly journals Metastatic rectal gastrointestinal stromal tumor with intestinal obstruction: A rare case report

2022 ◽  
Vol 17 (2) ◽  
pp. 376-379
Author(s):  
Mariam Kassimi ◽  
Amal Rami ◽  
Hind Guerroum ◽  
Jihane Habi ◽  
Imane Rahmouni ◽  
...  
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Gastrointestinal Stromal Tumor ◽  
Rare Case ◽  
Stromal Tumor ◽  
Rare Case Report

scholarly journals 2739 A Rare Case of Multifocal Gastrointestinal Stromal Tumor

2019 ◽  
Vol 114 (1) ◽  
pp. S1513-S1514
Author(s):  
Chandni Kaushik ◽  
Mohammad Bilal ◽  
Sreeram Parupudi
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Rare Case ◽  
Stromal Tumor

scholarly journals Diaphragmatic hernia: a rare complication of hepatic ablation

2020 ◽  
Vol 65 (3) ◽  
pp. 103-106
Author(s):  
Mark T Macmillan ◽  
Shueh Hao Lim ◽  
Hamish M Ireland
Keyword(s):  
Microwave Ablation ◽  
Rare Complication ◽  
Diaphragmatic Injury ◽  
Diaphragmatic Defect ◽  
Emergency Laparotomy ◽  
Effective Technique ◽  
Case Presentation ◽  
Hepatocellular Carcinomas ◽  
Hepatic Ablation ◽  
Life Threatening

Introduction Ablation has become an effective treatment for small hepatocellular carcinomas (HCC). Whilst ablation is a safe and effective technique, diaphragmatic injury is a rarely associated but significant complication. Case presentation: We present a case of a 67 year old patient who developed a diaphragmatic defect following microwave ablation (MWA) for HCC. The diaphragmatic defect progressed to herniation which was complicated by perforation of intrahernial large bowel. The patient was treated by emergency laparotomy and an extended right hemi-colectomy was performed. Conclusion Our report adds to the current available knowledge on diaphragmatic injury following hepatic ablation and demonstrates the potential for life threatening consequences associated with this complication.

scholarly journals Extra-Gastrointestinal Stromal Tumor of the Omentum: A Rare Case Report and Review of the Literature

Rare Tumors ◽  
2012 ◽  
Vol 4 (3) ◽  
pp. 141-144 ◽  
Author(s):  
Dimitris Fagkrezos ◽  
Zisis Touloumis ◽  
Maria Giannila ◽  
Charalampos Penlidis ◽  
Kleo Papaparaskeva ◽  
...  
Keyword(s):  
Case Report ◽  
Gastrointestinal Stromal Tumor ◽  
Rare Case ◽  
Stromal Tumor ◽  
Review Of The Literature ◽  
Rare Case Report

scholarly journals A Rare Case of Flare-Up of PID in Infertility Treatment

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Leena Wadhwa ◽  
Sanjana N. Wadhwa ◽  
Sunita Jindal
Keyword(s):  
Ovulation Induction ◽  
Rare Case ◽  
Infertility Treatment ◽  
Emergency Laparotomy ◽  
Low Grade ◽  
High Grade Fever ◽  
Genital Tuberculosis ◽  
Case Presentation ◽  
Aggressive Management ◽  
One Year

Case Presentation. Mrs. X, 35 years old, case of primary infertility, was diagnosed to have genital tuberculosis on the basis of PCR positive and hysterolaparoscopy findings and received category I ATT for 6 months. Following ATT completion, her USG revealed no evidence of tuboovarian mass or hydrosalpinx. Since her tubes were patent, she underwent 3 cycles of ovulation induction and 2 cycles of IUI. The women presented with acute PID, five days after IUI, and was conservatively managed. She again presented 24 days after IUI with persistent low grade fever and abdominal pain. Suspecting relapse of genital tuberculosis, she was started on category II ATT. She had acute episodes of high grade fever with chills 2 weeks after starting ATT and MRI revealed bilateral TO masses suggestive of pyosalpinx. Emergency laparotomy was done, pus was drained, and cyst wall was removed and HPE was suggestive of chronic inflammation with few granulation tissues. ATT was continued for one year and the woman improved.Conclusion. The possibility of flare-up of PID (pelvic inflammatory disease) in treated case of tuberculosis undergoing infertility management should be kept in mind and aggressive management should be done.

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