一例导致腹腔积血的破裂的腔外巨大回肠胃肠道间质瘤。
A ruptured large extraluminal ileal gastrointestinal stromal tumor causing hemoperitoneum.
作者信息
Hirasaki Shoji, Fujita Kohei, Matsubara Minoru, Kanzaki Hiromitsu, Yamane Hiromichi, Okuda Masato, Suzuki Seiyuu, Shirakawa Atsuko, Saeki Hideyuki
机构信息
Department of Internal Medicine, Sumitomo Besshi Hospital, 3-1 Ohji-cho, Niihama 7928543, Japan.
出版信息
World J Gastroenterol. 2008 May 14;14(18):2928-31. doi: 10.3748/wjg.14.2928.
Abstract
We describe an 87-year-old woman with a large ileal gastrointestinal stromal tumor (GIST) causing hemoperitoneum. A CT scan demonstrated a large heterogeneous mass measuring about 13 cm multiply 11 cm in the pelvis and hemoperitoneum, with a non-uniform enhancement pattern. The mass was diagnosed as a GIST originating from the gastrointestinal tract. She underwent an urgent laparotomy and an ileal GIST with a rupture was found 130 cm from the anal to the Treitz's ligament. Hemoperitoneum caused by ileal GIST rupture is a rare condition. Bleeding in the large tumor leading to rupture of the capsule might cause hemoperitoneum in the present case.
摘要
我们描述了一位87岁的女性，患有导致腹腔积血的巨大回肠胃肠道间质瘤（GIST）。CT扫描显示盆腔内有一个大小约为13厘米×11厘米的巨大不均匀肿块以及腹腔积血，增强模式不均匀。该肿块被诊断为起源于胃肠道的GIST。她接受了紧急剖腹手术，发现距肛门至Treitz韧带130厘米处有一个破裂的回肠GIST。回肠GIST破裂导致腹腔积血是一种罕见的情况。在本病例中，大肿瘤内的出血导致包膜破裂可能引起腹腔积血。
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