Spontaneous haemoperitoneum caused by a bleeding gastric gastrointestinal stromal tumour

被引:0
|
作者
Nandakumar, B. M. [1 ]
Agarwal, Nikita [1 ]
Vaidhyanathan, Varsha [1 ]
Hiremath, Srikantaiah [1 ]
机构
[1] MS Ramaiah Med Coll, Gen Surg, Bangalore, Karnataka, India
关键词
Gastrointestinal Stromal Tumors; Gastrointestinal surgery; General surgery; GI bleeding; SPONTANEOUS RUPTURE;
D O I
10.1136/bcr-2024-260108
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Spontaneous haemoperitoneum is described as a collection of blood in the peritoneal cavity due to non-traumatic aetiology. Common causes in the literature include splenic, hepatic and gynaecological pathology. Patients with spontaneous haemoperitoneum usually present with non-specific dull aching abdominal pain. Spontaneous haemoperitoneum can only be radiologically diagnosed and, if not treated in time, is life threatening. Rupture of a gastrointestinal stromal tumour (GIST) presenting as a spontaneous haemoperitoneum is a rare event. Gastric GIST presents as ambiguous abdominal pain, complications of which include melena, obstruction and rupture. This is a report of a male patient in his early 60s who presented with acute abdominal pain. A contrast-enhanced CT of the abdomen showed haemoperitoneum with an unknown source of origin. Diagnostic laparoscopy showed a bleeding exophytic mass arising from the stomach, which was resected. Thus, early diagnosis with proper imaging and prompt treatment has a favourable outcome.
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页数:5
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