Bae Jung Min, Kim Se Won
Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
Korean J Gastroenterol. 2009 Aug;54(2):123-5. doi: 10.4166/kjg.2009.54.2.123.
The stomach is the most frequent site of gastrointestinal stromal tumor (GIST). The common clinical manifestation of GIST are melena and hematochezia caused by gastointestinal bleeding. However, hemoperitoneum due to GIST rupture is a very rare condition. We describe a 33-year-old man with gastric GIST causing hemoperitoneum. A preoperative CT scan demonstrated large amount of fluid collection and extraluminal mass lesion in gastric antral area. He underwent an emergent laparotomy. The antral mass was polypoid shaped and showed ruptured focus. We performed a distal gastrectomy. The tumor was revealed as GIST with intermediate malignant risk by pathologic examination. The patient had an uneventful postoperative course and remains well.
胃是胃肠道间质瘤（GIST）最常见的发病部位。GIST的常见临床表现是由胃肠道出血引起的黑便和便血。然而，GIST破裂导致的腹腔积血是一种非常罕见的情况。我们描述了一名33岁因胃GIST导致腹腔积血的男性患者。术前CT扫描显示胃窦区有大量液体聚集和腔外肿块病变。他接受了急诊剖腹手术。胃窦部肿块呈息肉状，有破裂灶。我们进行了远端胃切除术。病理检查显示肿瘤为具有中度恶性风险的GIST。患者术后恢复顺利，目前情况良好。
