López-Tomassetti Fernández Eudaldo M, Hernández Hernández Juan Ramón, Nuñez Jorge Valentin
Department of Gastrointestinal Surgery, Insular University Hospital of Gran Canaria, Las Palmas, Spain.
Asian J Endosc Surg. 2013 May;6(2):126-9. doi: 10.1111/ases.12016.
Gastrointestinal stromal tumors (GIST) can represent a source of substantial gastrointestinal hemorrhage. Bleeding is described as a frequent cause of clinical presentation and commonly patients received surgical treatment on an urgent basis to drain the hematoma. However, a literature review has shown that perforation with peritonitis is very uncommon and rarely reported. These tumors are usually located in the stomach, and primary ileal and Meckel's localization is rare, occurring in less than 10% of cases in many series. In the English literature, we have found seven well-reported cases of GIST in a Meckel's diverticulum that presented with perforation and peritonitis; these case were found through a MEDLINE search of the terms: "perforated" GISTs in "Meckel's" GISTs. Herein, we describe a rare case of a perforated GIST in Meckel's diverticulum that caused severe peritonitis and that was treated with minimally invasive surgery.
胃肠道间质瘤（GIST）可能是严重胃肠道出血的一个来源。出血被描述为常见的临床表现原因，并且患者通常会紧急接受手术治疗以引流血肿。然而，文献综述表明，伴有腹膜炎的穿孔非常罕见且鲜有报道。这些肿瘤通常位于胃部，原发性回肠和梅克尔憩室定位罕见，在许多系列病例中发生率不到10%。在英文文献中，我们发现了7例报道详尽的位于梅克尔憩室的GIST病例，这些病例表现为穿孔和腹膜炎；这些病例是通过在MEDLINE中搜索关键词：“穿孔性”GISTs于“梅克尔憩室”GISTs而找到的。在此，我们描述了1例罕见的位于梅克尔憩室的穿孔性GIST病例，该病例导致了严重腹膜炎并接受了微创手术治疗。
