tailieunhanh - Báo cáo khoa học: "Spontaneous intratumoral bleeding and rupture of giant gastric stromal tumor ( 30 cm) in a young patient"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Spontaneous intratumoral bleeding and rupture of giant gastric stromal tumor ( 30 cm) in a young patient | BioMed Central World Journal of Surgical Oncology Open Access Case report Spontaneous intratumoral bleeding and rupture of giant gastric stromal tumor 30 cm in a young patient Ruy J Cruz Jr 1 Rodrigo Vincenzi1 Bernardo M Ketzer1 Andre L Cecilio1 and Lourdes A Cepeda2 Address Department of Surgery University of Santo Amaro Medical School Sao Paulo Brazil and - Department of Pathology University of Santo Amaro Medical School Sao Paulo Brazil Email Ruy J Cruz - cruzrj@ Rodrigo Vincenzi - rodvince@ Bernardo M Ketzer - bketzer@ Andre L Cecilio - alcecilio@ Lourdes A Cepeda - lacepeda@ Corresponding author Published 15 July 2008 Received 10 March 2008 World Journal of Surgical Oncology 2008 6 76 doi 1477-7819-6-76 Accepted 15 July 2008 This article is available from http content 6 1 76 2008 Cruz et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Few cases of GIST bigger than 15 cm have been reported in medical literature all primarily in elderly patients. We report an unusual case in which a giant gastric GIST - in a young patient - presented as spontaneous intratumoral bleeding followed by intraluminal rupture. Case presentation A 37-year-old man was admitted with an acute onset of abdominal pain. CT showed a 32 X 25 cm mass with some cystic lesions and areas of calcification. Twelve hours after admission the patient presented with an episode of upper GI bleeding and a significant decrease of tumor size and hemoglobin level. An upper endoscopy showed a large bulge in the posterior aspect of the gastric wall and a small ulcer with continuous bleeding coming from a central orifice. A subtotal gastrectomy was carried out. Pathological .