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Case Reports
. 2016 Dec;4(12):E1244-E1246.
doi: 10.1055/s-0042-115936. Epub 2016 Nov 10.

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

Piero V Valli  1 , Carlo Valli  2 , Thomas Pfammatter  3 , Peter Bauerfeind  1
Affiliations
Case Reports

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

Piero V Valli et al. Endosc Int Open. 2016 Dec.

Abstract

Duodenal gastrointestinal stromal tumors (GIST) are per se infrequent and are exceptional in children or young adults. So far, only 2 cases of pediatric duodenal GISTs have been published. Here we report on the case of a 19-year-old female patient who was admitted in hemorrhagic shock due to arterial bleeding of a duodenal GIST located in immediate proximity to the major duodenal papilla. After several attempts of endoscopic hemostasis failed, the tumor bleeding was controlled with a second coil embolization of the pancreaticoduodenal arcades.

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Conflict of interest statement

Competing interests: None

Figures

Fig. 1
Fig. 1
Duodenal tumorous mass with central vessel bulging into the lumen (bull’s eye appearance).
Fig. 2
Fig. 2
Bleeding duodenal mass adjacent to the major duodenal papilla (black arrow).
Fig. 3
Fig. 3
Submucosal, hypoechoic tumor of the duodenum.
Fig. 4
Fig. 4
Hypervascular submucosal tumor of the duodenum.
Fig. 5
Fig. 5
Hypervascular tumor (black arrow) of the duodenum predominantly supplied by the anterior pancreatoduodenal arcade.
Fig. 6
Fig. 6
Coil embolization of the superior pancreaticoduodenal arteries.
See this image and copyright information in PMC

References

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