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. 2010 Feb 4;3(1):53-6.
doi: 10.1007/s12245-009-0141-8.

Spontaneous intraperitoneal hemorrhage as the initial presentation of a gastrointestinal stromal tumor: a case report

Benjamin B Freeman  1 , Jonathan F Critchlow, Steven Cohen, Jonathan A Edlow
Affiliations

Spontaneous intraperitoneal hemorrhage as the initial presentation of a gastrointestinal stromal tumor: a case report

Benjamin B Freeman et al. Int J Emerg Med. .

Abstract

Background: Spontaneous hemoperitoneum is rare. The most common etiologies are gynecologic, splenic, and hepatic. Gastrointestinal stromal tumors (GISTs) are commonly associated with intraluminal bleeding, but rarely with spontaneous hemoperitoneum. We report a case of spontaneous hemoperitoneum caused by a gastric GIST.

Case report: A 54-year-old male presented with the acute onset of abdominal pain and a drop in hemoglobin. Subsequent evaluation, including a CT, MRI, and EUS, revealed a 1.2-cm mass along the greater curvature of the stomach and associated hemoperitoneum. The patient was taken electively to the operating room for laparoscopic removal of the mass. Pathology confirmed that it was a GIST.

Conclusion: GIST is a rare clinical entity that infrequently presents with spontaneous hemoperitoneum. Emergent treatment should be guided towards treating the spontaneous hemoperitoneum.

Keywords: GIST; Intraperitoneal hemorrhage; Spontaneous hemoperitoneum.

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Figures

Fig. 1
Fig. 1
CT scan of the abdomen revealing hemoperitoneum along the stomach
See this image and copyright information in PMC

References

    1. Lucey BC, Varghese JC, Anderson SW, Soto JA. Spontaneous hemoperitoneum: a bloody mess. [Review] [43 refs] [Journal Article. Review] Emerg Radiol. 2007;14(2):65–75. doi: 10.1007/s10140-007-0594-0. - DOI - PubMed
    1. Lucey BC, Varghese JC, Soto JA. Spontaneous hemoperitoneum: causes and significance. [Review] [50 refs] [Journal Article. Review] Curr Probl Diagn Radiol. 2005;34(5):182–195. doi: 10.1067/j.cpradiol.2005.06.001. - DOI - PubMed
    1. Elbiss HM, Neale E. Uterine leiomyosarcoma mimicking a ruptured aortic aneurysm. [Case Reports. Journal Article] J Obstet Gynaecol. 2006;26(1):85–86. doi: 10.1080/01443610500419949. - DOI - PubMed
    1. Park YJ, Ryu KY, Lee JI, Park MI. Spontaneous uterine rupture in the first trimester: a case report. [Case Reports. Journal Article] Journal of Korean Medical. Science. 2005;20(6):1079–1081. - PMC - PubMed
    1. Goddard SL, Chesney AE, Reis MD, Ghorab Z, Brzozowski M, Wright FC, Wells RA. Pathological splenic rupture: a rare complication of chronic myelomonocytic leukemia. [Case Reports. Journal Article] Am J Hematol. 2007;82(5):405–408. doi: 10.1002/ajh.20812. - DOI - PubMed

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