Acute Abdomen Syndrome Caused by a Perforated Gastrointestinal Stromal Tumor – A Case Report

T. Kıvılcım, F. Altıntoprak, Feyyaz Onuray, S. Beyaz, M. Yıldırım, O. Dilek
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引用次数: 1

Abstract

Abstract: Gastrointestinal stromal tumors (GIST) are frequently observed in the stomach and intestines. Although they may be presented with various symptoms depending on their location and diameter, acute abdomen syndrome is a rare presentation form for GIST. A 54-year-old male patient was evaluated with the complaint of sudden onset abdominal pain at the urology clinic. In examination; fever (38.5 EsC), abdominal distension and peritoneum irritation signs were detected. A mass that contained localized necrotic areas thought to have mesentery origins and intraabdominal free-fluid were detected on abdominal computed tomography. The patient was operated with the diagnosis of acute abdomen syndome. In operation; extensive intestinal content in the abdomen, a perforated tumoral mass which was 7x5 cm in diameter, and anti-mesenterically localized at the ileum segment were detected. Segmental ileum resection-end ileostomy operation was performed, and the patient was discharged as uneventful on post-operative tenth day. As a result of a histopathological analysis, a GIST (<5/50 mitotic growth) was detected. By means of this finding, we want to remind that GISTs may be presented with acute abdomen symptoms due to perforation, though rarely.
胃肠道间质瘤穿孔致急腹症1例
摘要胃肠道间质瘤(GIST)常见于胃肠道。虽然它们可能根据其位置和直径表现出各种症状,但急性腹部综合征是GIST的罕见表现形式。一位54岁男性患者以突发性腹痛主诉在泌尿科门诊就诊。在检查;发热(38.5 EsC)、腹胀及腹膜刺激征象。腹部计算机断层扫描发现肿块包含局部坏死区域,认为起源于肠系膜和腹腔内自由液。诊断为急腹症,手术治疗。在操作;腹部广泛肠内容物,直径was 7x5cm的穿孔肿瘤肿块,反肠系膜定位于回肠段。行节段性回肠切除-末端回肠造口术,术后第10天顺利出院。作为组织病理学分析的结果,检测到GIST(<5/50有丝分裂生长)。通过这一发现,我们想提醒的是,gist可能会出现由于穿孔引起的急性腹部症状,尽管这种情况很少见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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