Jang Seo Jin, Kwon Jae Hyun, Han Yoonhee
Department of Radiology, Dongguk University Ilsan Hospital, Goyang, Korea.
Korean J Gastroenterol. 2018 Oct 25;72(4):205-208. doi: 10.4166/kjg.2018.72.4.205.
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumor of the gastrointestinal tract and occur most frequently in the stomach. The liver is the most common metastatic site of a GIST, and spontaneous rupture of the hepatic metastasis of a malignant gastric GIST is rare. We report the case of a 70-year-old man who presented with sudden right lower quadrant abdominal pain and was diagnosed with a spontaneously ruptured hepatic metastasis of a malignant gastric GIST. The patient was successfully managed with transcatheter arterial embolization of the hepatic artery.
胃肠道间质瘤(GISTs)是胃肠道最常见的间叶性肿瘤,最常发生于胃。肝脏是GIST最常见的转移部位,而恶性胃GIST肝转移灶的自发性破裂较为罕见。我们报告一例70岁男性患者,因突发右下腹疼痛就诊,诊断为恶性胃GIST肝转移灶自发性破裂。该患者通过肝动脉导管动脉栓塞术成功治疗。