Gastrointestinal Autonomic Nerve Tumor with Giant Abscess

Honda, Kuniya; Mikami, Tetsuo; Ohkusa, Toshifumi; Takashimizu, Ichizen; Fujiki, Kazuhiko; Araki, Akihiro; Shimoi, Kengo; Enomoto, Yasuko; Ariake, Koichiro; Miyasaka, Nobuyuki; Nihei, Zenro; Oda, Koichiro; Terada, Takehiko

doi:10.1097/00004836-199706000-00024

Cited by 17 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cases of GISTs involving the stomach presenting as an intra-abdominal abscess are extremely rare, and only 7 cases have been reported in the English literature (table 1 ) [ 8 , 9 , 10 , 11 , 12 , 13 , 14 ]. In some cases with GISTs, tumor degeneration or necrosis can result in bleeding into the gastrointestinal lumen or peritoneum space, and bleeding into the intra-abdominal space can cause an intra-abdominal abscess.…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal Stromal Tumor of the Stomach with an Abscess Excised by Laparoscopic Surgery

Maeda¹,

Shinohara²,

Katayama³

et al. 2016

Case Rep Gastroenterol

View full text Add to dashboard Cite

Gastrointestinal stromal tumors (GISTs) of the stomach presenting as an intra-abdominal abscess are extremely rare. We herein report a case that underwent successful laparoscopic resection of gastric GIST presenting with an intra-abdominal abscess. A 70-year-old man presented with a 3-day history of acute upper abdominal pain with a fever. Laboratory data showed an elevated white blood cell count and C-reactive protein level. A CT scan revealed a mass of mixed solid and fluid components, measuring 5.5 cm, in the adjacent lesser curvature of the stomach. He was diagnosed as having an intra-abdominal abscess, and antibiotic therapy was administered. Consequently, his symptoms were relieved and a CT scan on the 7th day showed that the mass reduced and became homogenous. According to the results of a fine-needle aspiration biopsy, the tumor was suspected to be a GIST. Laparoscopic surgery with the 5-port approach was performed. The tumor existed in the lesser curvature of the stomach, and was excised en bloc with the omentum and gastric wall by wedge resection. The tumor measured 3.0 cm in diameter and originated from the serosal layer of the stomach. Histological findings showed spindle cells with a stromal growth pattern that was positive for c-kit (CD 117) and CD 34. The postoperative course was uneventful, and no recurrence has been noted in the 2 years since the operation. This is the first report of a case with gastric GIST with an intra-abdominal abscess that was successfully treated by laparoscopic surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Gastrointestinal Stromal Tumor of the Stomach with an Abscess Excised by Laparoscopic Surgery

Maeda¹,

Shinohara²,

Katayama³

et al. 2016

Case Rep Gastroenterol

View full text Add to dashboard Cite

show abstract

“…GANTs are found in all regions of the small intestine, stomach, and less commonly in mesentery, peritoneum, omentum and esophagus (4–8). Almost all reports mention that primary localization of GANT in childhood is stomach (6,7,9,10).…”

Section: Discussionmentioning

confidence: 99%

“…Histopathologic examination showed that the neoplastic cells consisted of spindle cells with increased mitotic activity. It is well‐known that immunocytochemical and ultrastructural examination is essential in distinguishing GANT from gastrointestinal stromal tumor, and the presence of neuronal differentiation with the absence of myogenic, schwann and epithelial features are required for diagnosis (2,5,8). The immunocytochemical test results of our case (positivity for NSE and S‐100 protein, negativity for cytokeratin, desmin, and actin) confirmed diagnosis of GANT.…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal Autonomic Nerve Tumor: The youngest case reported in the literature

Varan,

Doğanci,

Taşkin

et al. 2000

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

Endoscopic ultrasonography in the diagnosis and treatment of a gastric wall abscess

et al. 2015

View full text Add to dashboard Cite

A gastric wall abscess is rare and it can reportedly appear similar to a submucosal tumor on endoscopy. Few reports have described endoscopic ultrasonographic findings for a gastric wall abscess. An 84-year-old man was admitted to our hospital for tarry stools. Esophagogastroduodenoscopy showed an elevated lesion similar to a submucosal tumor at the posterior wall of the stomach. Erosion and a white coat were observed on top of the lesion. Endoscopic ultrasonography showed an anechoic lesion connected to the proper muscular layer with a hyperechoic area in the center of the lesion. The lesion was diagnosed as a gastric wall abscess using endoscopic ultrasound-guided fine-needle aspiration and was treated with endoscopic ultrasound-guided drainage. The final diagnosis was a gastric wall abscess presenting as gastrointestinal hemorrhage. The patient was discharged with internal drainage stents. Computed tomography performed 3 months after discharge did not show recurrence of the abscess.

show abstract

Gastrointestinal Autonomic Nerve Tumor with Giant Abscess

Cited by 17 publications

References 8 publications

Gastrointestinal Stromal Tumor of the Stomach with an Abscess Excised by Laparoscopic Surgery

Gastrointestinal Stromal Tumor of the Stomach with an Abscess Excised by Laparoscopic Surgery

Gastrointestinal Autonomic Nerve Tumor: The youngest case reported in the literature

Endoscopic ultrasonography in the diagnosis and treatment of a gastric wall abscess

Contact Info

Product

Resources

About