Shi Xiuju, Yu Shuxia, Wang Fenyan, Zhao Qi, Xu Hongwei, Li Bin
Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong University Department of Gastroenterology, Qianfo Mountain Hospital, Jinan, China.
Medicine (Baltimore). 2018 Mar;97(9):e9874. doi: 10.1097/MD.0000000000009874.
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors involving the gastrointestinal tract. A small percentage of GISTs may cause acute gastrointestinal bleeding, which requires urgent surgical intervention.
In this case report, we present a 62-year-old male patient with who was hospitalized due to acute bleeding.
The patient was diagnosed as GIST with low risk.
The patient was treated endoscopically with polidocanol sclerotherapy.
The mass was removed completely, and the patient was discharged at day 9 after operation.
This case indicates that GIST can present as massive upper gastrointestinal bleeding and urgent endoscopic sclerotherapy can be life-saving. The endoscopical intervention may be a good alternative for emergency.
胃肠道间质瘤(GISTs)是最常见的累及胃肠道的间充质肿瘤。一小部分GISTs可能导致急性胃肠道出血,这需要紧急手术干预。
在本病例报告中,我们介绍了一名62岁男性患者,他因急性出血入院。
该患者被诊断为低风险GIST。
对该患者进行了聚多卡醇硬化疗法的内镜治疗。
肿块被完全切除,患者术后第9天出院。
本病例表明,GIST可表现为大量上消化道出血,紧急内镜硬化疗法可能挽救生命。内镜干预可能是一种很好的紧急替代方案。