Abdelgawad Mohamed, Kamel Omar M, Issa Peter P, Omar Mahmoud, Barghuthi Lutfi, Davis Tyler, Ismael Hishaam
Department of Surgery, University of Texas Health Science Center, UT Health East Texas, Tyler, TX, USA.
Department of Surgery, School of Medicine, Tulane University, New Orleans, LA, USA.
J Surg Case Rep. 2022 Nov 25;2022(11):rjac434. doi: 10.1093/jscr/rjac434. eCollection 2022 Nov.
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. GISTs of the small bowel are rare, and often present with an abdominal mass and/or bleeding. Chemotherapy and surgery are the mainstay of therapy. Here, we discuss an unusual case of a ruptured jejunal GIST with hemoperitoneum and recurrence despite surgical excision followed by Imatinib treatment. Forty-five cases of ruptured small intestinal GISTs were identified in the literature. Most cases were in males and were found to be at the site of the jejunum.
胃肠道间质瘤（GISTs）是胃肠道最常见的间叶组织肿瘤。小肠的胃肠道间质瘤较为罕见，常表现为腹部肿块和/或出血。化疗和手术是主要的治疗方法。在此，我们讨论一例罕见的空肠胃肠道间质瘤破裂并伴有腹腔积血的病例，尽管进行了手术切除并随后接受伊马替尼治疗，但仍出现复发。在文献中确定了45例小肠胃肠道间质瘤破裂的病例。大多数病例为男性，且病变位于空肠部位。
