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©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. May 14, 2008; 14(18): 2928-2931
Published online May 14, 2008. doi: 10.3748/wjg.14.2928
Published online May 14, 2008. doi: 10.3748/wjg.14.2928
A ruptured large extraluminal ileal gastrointestinal stromal tumor causing hemoperitoneum
Shoji Hirasaki, Kohei Fujita, Minoru Matsubara, Hiromitsu Kanzaki, Hiromichi Yamane, Masato Okuda, Seiyuu Suzuki, Department of Internal Medicine, Sumitomo Besshi Hospital, Niihama 7928543, Japan
Atsuko Shirakawa, Department of Pathology, Sumitomo Besshi Hospital, Niihama 7928543, Japan
Hideyuki Saeki, Department of Surgery, Sumitomo Besshi Hospital, Niihama 7928543, Japan
Author contributions: Hirasaki S, Fujita K, Matsubara M, Kanzaki H, Yamane H, Okuda M and Suzuki S were involved in the care of the patient; Shirakawa A studied the specimen; Saeki H performed the surgery; Hirasaki S wrote the paper.
Correspondence to: Shoji Hirasaki, Department of Internal Medicine, Sumitomo Besshi Hospital, 3-1 Ohji-cho, Niihama 7928543, Japan. shoji_hirasaki@ni.sbh.gr.jp
Telephone: +81-897-377111
Fax: +81-897-377121
Received: January 29, 2008
Revised: March 11, 2008
Published online: May 14, 2008
Revised: March 11, 2008
Published online: May 14, 2008
Abstract
We describe an 87-year-old woman with a large ileal gastrointestinal stromal tumor (GIST) causing hemoperitoneum. A CT scan demonstrated a large heterogeneous mass measuring about 13 cm × 11 cm in the pelvis and hemoperitoneum, with a non-uniform enhancement pattern. The mass was diagnosed as a GIST originating from the gastrointestinal tract. She underwent an urgent laparotomy and an ileal GIST with a rupture was found 130 cm from the anal to the Treitz’s ligament. Hemoperitoneum caused by ileal GIST rupture is a rare condition. Bleeding in the large tumor leading to rupture of the capsule might cause hemoperitoneum in the present case.
Keywords: Intestinal neoplasm, Small intestine, Extraluminal growth, Laparotomy