Upper gastrointestinal hemorrhage due to duodenal stromal tumor

Author:

Parreira José Gustavo1,Freitas Wilson de1,Rasslan Samir1

Affiliation:

1. 'Santa Casa' School of Medicine, Brazil

Abstract

BACKGROUND: Gastrointestinal stromal tumor represents a rare neoplasm that originates in the muscular wall of the hollow viscera. AIM: To report gastrointestinal stromal tumor as a source of upper gastrointestinal bleeding, which required urgent surgical control. PATIENT/METHOD: A man with 61 years old was admitted to the emergency service sustaining hematemesis and melena. Endoscopy showed active bleeding from a tumor in the second portion of the duodenum, which was controlled by heater probe cauterization. Surgery was performed through a median laparotomy. A local resection of a 4 cm tumor in the second portion of the duodenum was carried out, together with a primary end-to-end anastomosis and a duodenal diverticulization. No complications happened during the post-operative period. Morphologic examination showed gastrointestinal stromal tumor with no atypical mitosis and a preserved capsule. CONCLUSION: Albeit not being common, gastrointestinal stromal tumors can represent a source of substantial gastrointestinal hemorrhage.

Publisher

FapUNIFESP (SciELO)

Subject

Gastroenterology

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Hemorragia digestiva provocada por tumor estromal gastrointestinal avançado de duodeno;ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo);2007-12

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