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Acute gastrointestinal bleeding from a submucosal gastric mass.

Soufidi K, Laheij RJ, Monkelbaan JF - Ann Gastroenterol (2012)

Bottom Line: We report a case of a 44-year-old male patient who presented with melena and hemodynamic instability.The endoscopic investigation of the upper and lower gastrointestinal tract was initially negative, but a repeat gastroduodenoscopy revealed a submucosal mass in the lesser curvature of the stomach with central erosion, primarily perceived as ectopic pancreas, but it was later discovered that it pertained to a gastrointestinal stromal tumor.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, University Medical Center of Utrecht, The Netherlands.

ABSTRACT
We report a case of a 44-year-old male patient who presented with melena and hemodynamic instability. The endoscopic investigation of the upper and lower gastrointestinal tract was initially negative, but a repeat gastroduodenoscopy revealed a submucosal mass in the lesser curvature of the stomach with central erosion, primarily perceived as ectopic pancreas, but it was later discovered that it pertained to a gastrointestinal stromal tumor.

No MeSH data available.


Related in: MedlinePlus

Gastroduodenoscopy during active bleeding revealed a submucosal mass with an eroded surface and bleeding stigmata (black arrow)
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Figure 2: Gastroduodenoscopy during active bleeding revealed a submucosal mass with an eroded surface and bleeding stigmata (black arrow)

Mentions: At the time of admission the patient complained about melena and syncope. Physical examination revealed hypotension and tachycardia, but was otherwise unremarkable. Laboratory tests revealed low hemoglobin 5.1 mg/dL. Subsequent GDS revealed a submucosal protruding mass in the lesser curvature of the stomach with an eroded surface and bleeding stigmata, which is shown in Figure 2 (black arrow). This was treated with epinephrine injection and hemoclips. Computed tomography (CT) showed a mass in the stomach with a diameter of 3 × 7 cm without lymphadenopathy or signs of distant metastases. The patient was admitted to the ICU and continuous intravenous proton pump inhibitor was started. However, fluid resuscitation and blood transfusion remained necessary. Therefore, two days after admission, the patient underwent a partial gastrectomy. Figure 3 shows the wedge resection of the gastric mass with central hemorrhage (black arrow).


Acute gastrointestinal bleeding from a submucosal gastric mass.

Soufidi K, Laheij RJ, Monkelbaan JF - Ann Gastroenterol (2012)

Gastroduodenoscopy during active bleeding revealed a submucosal mass with an eroded surface and bleeding stigmata (black arrow)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3959352&req=5

Figure 2: Gastroduodenoscopy during active bleeding revealed a submucosal mass with an eroded surface and bleeding stigmata (black arrow)
Mentions: At the time of admission the patient complained about melena and syncope. Physical examination revealed hypotension and tachycardia, but was otherwise unremarkable. Laboratory tests revealed low hemoglobin 5.1 mg/dL. Subsequent GDS revealed a submucosal protruding mass in the lesser curvature of the stomach with an eroded surface and bleeding stigmata, which is shown in Figure 2 (black arrow). This was treated with epinephrine injection and hemoclips. Computed tomography (CT) showed a mass in the stomach with a diameter of 3 × 7 cm without lymphadenopathy or signs of distant metastases. The patient was admitted to the ICU and continuous intravenous proton pump inhibitor was started. However, fluid resuscitation and blood transfusion remained necessary. Therefore, two days after admission, the patient underwent a partial gastrectomy. Figure 3 shows the wedge resection of the gastric mass with central hemorrhage (black arrow).

Bottom Line: We report a case of a 44-year-old male patient who presented with melena and hemodynamic instability.The endoscopic investigation of the upper and lower gastrointestinal tract was initially negative, but a repeat gastroduodenoscopy revealed a submucosal mass in the lesser curvature of the stomach with central erosion, primarily perceived as ectopic pancreas, but it was later discovered that it pertained to a gastrointestinal stromal tumor.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, University Medical Center of Utrecht, The Netherlands.

ABSTRACT
We report a case of a 44-year-old male patient who presented with melena and hemodynamic instability. The endoscopic investigation of the upper and lower gastrointestinal tract was initially negative, but a repeat gastroduodenoscopy revealed a submucosal mass in the lesser curvature of the stomach with central erosion, primarily perceived as ectopic pancreas, but it was later discovered that it pertained to a gastrointestinal stromal tumor.

No MeSH data available.


Related in: MedlinePlus