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KMID : 1188320100040020278
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Gut and Liver
2010 Volume.4 No. 2 p.278 ~ p.282
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Spontaneous Rupture of a Gastric Stromal Tumor Causing Hemoperitoneum
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Lee Gun-Wha
Kim Young-Seok
Kim Sang-Gyune
Ko Bong-Min
Lee Moon-Sung
Cho Gyu-Seok
Park Seong-Jin
Kim Hee-Kyung
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Abstract
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We describe a 39-year-old man with spontaneous rupture of a gastric stromal tumor causing hemoperitoneum. Ultrasonography showed a large mass broadly abutting the stomach and liver. Computed tomography demonstrated a heterogeneous enhanced mass arising from the stomach and focal perforation of the tumor with hemoperitoneum; endoscopic ultrasonography showed an exophytic heterogeneous mass originating from the gastric muscle layer. Angiography revealed that the right gastric artery was the main artery supplying the tumor. A gastric stromal tumor with bloody fluid in the peritoneal cavity was seen at the laparotomy. The tumor was excised completely, and subsequent histological and immunohistochemical studies indicated that it was a gastric stromal tumor. We report a relatively rare case of gastric stromal tumor causing hemoperitoneum due to spontaneous rupture of the tumor.
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KEYWORD
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Gastric stromal tumor, Hemoperitoneum, Spontaneous rupture
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