Traumatic rupture of a gastrointestinal stromal tumour with intraperitoneal bleeding and haematoma formation

BMJ Case Rep. 2010 Aug 6;2010:bcr1220092541. doi: 10.1136/bcr.12.2009.2541.

Abstract

A 40-year-old man presented with acute abdominal pain and falling haemoglobin after a history of minor abdominal trauma. Radiological imaging showed a large soft tissue mass situated between the anterior stomach wall and peritoneum. At diagnostic laparoscopy, intra-abdominal blood and an encapsulated haematoma were found. The procedure was converted to midline laparotomy and the mass was excised, including a stalk of tissue that connected the mass to the anterior prepyloric stomach wall. The patient recovered well and was discharged after 9 days. Histology confirmed a gastrointestinal stromal tumour surrounded by haematoma formation.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Injuries / complications
  • Abdominal Injuries / diagnosis
  • Abdominal Pain / diagnosis
  • Abdominal Pain / etiology
  • Adult
  • Biopsy, Needle
  • Emergency Service, Hospital
  • Follow-Up Studies
  • Gastrointestinal Hemorrhage / diagnostic imaging
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrointestinal Hemorrhage / surgery*
  • Gastrointestinal Neoplasms / complications
  • Gastrointestinal Neoplasms / diagnosis*
  • Gastrointestinal Neoplasms / surgery
  • Gastrointestinal Stromal Tumors / complications
  • Gastrointestinal Stromal Tumors / diagnosis*
  • Gastrointestinal Stromal Tumors / surgery
  • Hematoma / diagnostic imaging
  • Hematoma / etiology*
  • Hematoma / surgery
  • Humans
  • Immunohistochemistry
  • Injury Severity Score
  • Laparoscopy / methods
  • Laparotomy / methods
  • Male
  • Radiography
  • Risk Assessment
  • Rupture / surgery
  • Treatment Outcome