Initial presentation of a giant gastrointestinal stromal tumour of the stomach with recurrent spontaneous intra-peritoneal haemorrhage

Vinagreiro, M.; Valverde, J. N.; Guerreiro, Emanuel

doi:10.1016/j.ijscr.2015.01.033

Cited by 7 publications

(2 citation statements)

References 10 publications

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“…Peritonitis severity is also considered as an available indication of urgent surgery. Tan [18] had reported patients with portal vein gas caused by enterocolitis after chemotherapy. The patients were conducted abdominal laparotomy in the absence of sign of peritonitis, but no intestinal ischemia or necrosis was observed.…”

Section: Discussionmentioning

confidence: 99%

Intestinal necrosis cannot be neglected in a patient with hepatic portal vein gas combined with appendicitis: a rare case report and literature review

Chen

Fang

et al. 2019

BMC Surg

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BackgroundHepatic portal vein gas (HPVG) is a rare acute abdomen, which is not an independent disease. Meanwhile, HPVG combined with appendicitis has been rarely reported. We found only a similar report by looking for literature, but no intestinal necrosis occurred. We report a patient with HPVG, appendicitis and intestinal necrosis was reported in the current study. The patient was given frequent monitoring and had been conducted operation in time.Case presentationAn 86-year-old female with appendicitis complicated by HPVG was reported in the present study. Abdominal examination revealed rebound tenderness at the McBurney’s point. Moreover, abdominal computed tomography (CT) revealed gas in portal and mesenteric veins in addition to appendicitis. An emergency operation was planned on the appendix. However, the patient refused surgical treatment. Therefore, conservative treatment of antibiotics and frequent imaging observation was conducted for this patient. Although imaging results suggested disappeared gas in intra- and extra-hepatic portal veins, the small intestine was dilated, after conservative treatment of antibiotics. In addition, signs of diffused peritonitis could also be observed and an exploratory laparotomy was performed. Intra-operative findings had confirmed suppurated appendix, mesenteric ischemia and small intestinal necrosis.ConclusionsFrequent monitoring benefits us in observing the progress of intestinal diseases. When there exist other possible causes of HPVG such as infection, it is not easy for us to ignore the possibility of intestinal necrosis.

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Section: Discussionmentioning

confidence: 99%

Intestinal necrosis cannot be neglected in a patient with hepatic portal vein gas combined with appendicitis: a rare case report and literature review

Chen

Fang

et al. 2019

BMC Surg

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“…Very often GISTs are asymptomatic, whereas the most likely clinical presentation involves abdominal pain, early satiety, or obstructive symptoms [27]. In rare cases they can cause more overt symptoms, such as hemorrhage [28,29] or acute infectious complications including abscess formation within the tumor [30 -33]. Gastrointestinal stromal tumors can sometimes predispose the formation of liver abscesses, most likely through translocation of infectious agents harbored within the stromal tumor [34 -41].…”

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confidence: 99%

Gastrointestinal stromal tumor as entry port for S. intermedius causing bacteremia and multiple liver abscesses. Case report and review of literature.

Benou

Walter

Schlitter³

et al. 2016

Z Gastroenterol

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We report a case of a previously healthy 52-year-old man who presented with fever and liver lesions suspicious for metastatic disease, which proved subsequently to be abscesses. Further workup revealed a gastrointestinal stromal tumor (GIST) in the gastric corpus as entry port to Streptococcus intermedius-associated bacteremia and liver abscesses. After antibiotic treatment and surgical resection of the tumor, the patient recovered well. This unusual case indicates that gastrointestinal stromal tumors can remain undetected until they cause a life threatening infection. A review of recent literature pertaining to GIST and liver abscesses follows.

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Resection of giant mediastinal liposarcoma via ‘⊣ shape’ incision

Huang

Jiang

2017

J. surg. case rep.

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Primary mediastinal liposarcomas are extremely rare conditions often resected through standard median sternotomy or lateral thoracotomy. However, the management of a very huge mediastinal tumor involving hemithorax through these two common surgical approaches is always challenging. Herein, we report a case of applying median sternotomy with a sternum transection plus a right fourth intercostal thoracotomy (‘⊣ shape’ incision) to resect a giant primary anterior mediastinal liposarcoma extending into the whole right thorax. The final pathological diagnosis was a well-differentiated liposarcoma. The patient experienced an uneventful recovery. The ‘⊣ shape’ incision is a good backup for the extension of standard median sternotomy and provides a better exposure for both mediastinum and hemithorax.

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Initial presentation of a giant gastrointestinal stromal tumour of the stomach with recurrent spontaneous intra-peritoneal haemorrhage

Cited by 7 publications

References 10 publications

Intestinal necrosis cannot be neglected in a patient with hepatic portal vein gas combined with appendicitis: a rare case report and literature review

Intestinal necrosis cannot be neglected in a patient with hepatic portal vein gas combined with appendicitis: a rare case report and literature review

Gastrointestinal stromal tumor as entry port for S. intermedius causing bacteremia and multiple liver abscesses. Case report and review of literature.

Resection of giant mediastinal liposarcoma via ‘⊣ shape’ incision

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