Duodenal gastrointestinal stromal tumor presenting with life-threatening upper GI bleeding in a young patient: A case report and literature review

被引:0
作者
Abera, Samuel Addisu [1 ]
Tadesse, Amanuel Kassa [1 ]
Abera, Kirubel Addisu [1 ]
Zegeye, Kassa Berie [1 ]
Ibrahim, Mohammed Alemu [2 ]
Feleke, Ashenafi Amsalu [2 ]
Gebrehiwet, Cheru lilay [2 ]
Mengistu, Segenet Bizuneh [3 ]
Alemu, Hirut Tesfahun [4 ]
Molla, Yohannis Derbew [2 ]
机构
[1] Univ Gondar, Coll Med & Hlth Sci, Dept Anat Pathol, Gondar, Ethiopia
[2] Univ Gondar, Coll Med & Hlth Sci, Dept Surg, Gondar, Ethiopia
[3] Univ Gondar, Coll Med & Hlth Sci, Dept Internal Med, Gondar, Ethiopia
[4] Univ Gondar, Coll Med & Hlth Sci, Gondar, Ethiopia
来源
CLINICAL CASE REPORTS | 2024年 / 12卷 / 04期
关键词
duodenum; GIST; hematemesis; life-threatening; shock; SURGERY; MANAGEMENT; RECURRENCE; DIAGNOSIS; PATHOLOGY; SURVIVAL; FEATURES; GISTS;
D O I
10.1002/ccr3.8796
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
GIST is the most common mesenchymal neoplasm of the gastrointestinal tract, accounting for 1%-2% of gastrointestinal tumors. They originate from the interstitial cells of Cajal and are rare in patients younger than 30 years. The stomach is the most common site, followed by the small intestine and colon. GISTs are caused by a gain-of-function mutation in the proto-oncogene receptor tyrosine kinase, with activating mutations in KIT being the most common. Most GISTs are asymptomatic. Even if gastrointestinal bleeding is the most common complication life-threatening hemorrhage is extremely uncommon. We present a case of a 31-year-old male patient presented with massive active hematemesis and melena with hemorrhagic shock. The patient presented with massive hematemesis and melena of 1 h duration. Endoscopy showed pulsating active bleeding from the third part of the duodenum which was difficult to manage via endoscopy. Histopathologic evaluation showed spindle cell type GIST. Intraoperatively, there was a nodular mass with active bleeding on the third part of the duodenum. Duodenectomy with end-to-end anastomosis was done. Discharged with no postoperative complication and was put on imatinib. There are considerable challenges that arise in the diagnosis and treatment of duodenal gastrointestinal stromal tumors (GISTs) when they present with life-threatening upper gastrointestinal hemorrhage. In order to achieve the best possible outcomes for patients, it is crucial to have a comprehensive understanding of the clinical presentation, diagnostic methods, and treatment approaches.
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