Rupture of gastrointestinal stromal tumor presenting with sudden onset chest and back pain and accompanied by gastric dilatation

Case A 72‐year‐old man with hypertension was admitted with acute‐onset chest and back pain followed by epigastralgia. He was transported by helicopter due to suspected acute aortic dissection. Systolic blood pressures were equal in both arms. Physical examination showed epigastric tenderness without...

Full description

Saved in:
Bibliographic Details
Published inAcute medicine & surgery Vol. 3; no. 4; pp. 380 - 383
Main Authors Nitta, Kenichi, Imamura, Hiroshi, Yashio, Akihiro, Takeshige, Kanako, Tsukada, Megumi, Ippongi, Kuniharu, Mochizuki, Katsunori, Kashima, Yuichiro, Sugiyama, Satoshi, Miyagawa, Shinichi
Format Journal Article
LanguageEnglish
Published United States John Wiley & Sons, Inc 01.10.2016
John Wiley and Sons Inc
Wiley
Subjects
Abdomen
Acute coronary syndromes
Back pain
Blood
Case Report
Case Reports
chest pain
Dissection
Embolisms
Esophagus
gastric dilatation
Gastrointestinal cancer
gastrointestinal stromal tumor
Pancreatitis
Radiography
Tomography
Tumors
Back pain
gastric dilatation
gastrointestinal stromal tumor
chest pain
Online AccessGet full text

Cover

More Information
Summary:Case A 72‐year‐old man with hypertension was admitted with acute‐onset chest and back pain followed by epigastralgia. He was transported by helicopter due to suspected acute aortic dissection. Systolic blood pressures were equal in both arms. Physical examination showed epigastric tenderness without rebound. Blood tests showed leukocytosis. Electrocardiogram and echocardiogram were normal. Abdominal radiography showed acute gastric dilatation with an air‐outlined large mass‐like shadow. Abdominal computed tomography revealed a 6‐cm exophytic mass and large intramural hematoma in the lesser curvature of the gastric body. Outcome The patient underwent urgent laparotomy with total gastrectomy. The resected tumor showed positivity for CD117 and CD34 but negativity for S100, indicating a gastrointestinal stromal tumor. Fourteen days after the surgery, the patient was uneventfully discharged. Conclusion Intramural bleeding of submucosal tumors including gastrointestinal stromal tumor should be considered in cases of acute gastric dilatation. Abdominal radiography may be a clue regarding the presence of this condition.
ISSN:2052-8817
2052-8817
DOI:10.1002/ams2.190