Unusual Gastrointestinal Hemorrhaging Mimicking a Rupture of Solitary Gastric Varices Due to a Gastric Gastrointestinal Stromal Tumor with Exogenous Growth

Tesshin Ban; Yoshimasa Kubota; Makoto Nakamura; Tomoaki Ando; Shun Sasoh; Hiroshi Ichikawa; Takuya Takahama; Makoto Urano; Takashi Joh

doi:10.2169/internalmedicine.8003-21

Unusual Gastrointestinal Hemorrhaging Mimicking a Rupture of Solitary Gastric Varices Due to a Gastric Gastrointestinal Stromal Tumor with Exogenous Growth

Tesshin Ban, Yoshimasa Kubota, Makoto Nakamura, Tomoaki Ando, Shun Sasoh, Hiroshi Ichikawa, Takuya Takahama, Makoto Urano, Takashi Joh

Diagnostic pathology

Research output: Contribution to journal › Article › peer-review

Abstract

Gastric gastrointestinal stromal tumors can lead to upper gastrointestinal hemorrhaging, which is usually caused by dimpling or ulceration on the tumor surface. While rare, pedunculated gastric gastrointestinal stromal tumors outside the stomach can present as a huge mass with delayed complaints. We herein report an unusual hemorrhaging mimicking a rupture of solitary gastric varices due to a pedunculated gastric gastrointestinal stromal tumor. In this case, contrast-enhanced computed tomography (CECT) was essential for tumor detection. An endoscopic investigation revealed dilated, aberrant veins and arteries in the submucosa of this tumor, recognized as solitary gastric varices.

Original language	English
Pages (from-to)	653-656
Number of pages	4
Journal	Internal Medicine
Volume	61
Issue number	5
DOIs	https://doi.org/10.2169/internalmedicine.8003-21
Publication status	Published - 2022

All Science Journal Classification (ASJC) codes

Internal Medicine

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10.2169/internalmedicine.8003-21

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title = "Unusual Gastrointestinal Hemorrhaging Mimicking a Rupture of Solitary Gastric Varices Due to a Gastric Gastrointestinal Stromal Tumor with Exogenous Growth",

abstract = "Gastric gastrointestinal stromal tumors can lead to upper gastrointestinal hemorrhaging, which is usually caused by dimpling or ulceration on the tumor surface. While rare, pedunculated gastric gastrointestinal stromal tumors outside the stomach can present as a huge mass with delayed complaints. We herein report an unusual hemorrhaging mimicking a rupture of solitary gastric varices due to a pedunculated gastric gastrointestinal stromal tumor. In this case, contrast-enhanced computed tomography (CECT) was essential for tumor detection. An endoscopic investigation revealed dilated, aberrant veins and arteries in the submucosa of this tumor, recognized as solitary gastric varices.",

keywords = "GIST, Gastrointestinal stromal tumor, Pedunculated GIST, Pedunculated gastrointestinal stromal tumor, UGIH, Upper gastrointestinal hemorrhaging",

author = "Tesshin Ban and Yoshimasa Kubota and Makoto Nakamura and Tomoaki Ando and Shun Sasoh and Hiroshi Ichikawa and Takuya Takahama and Makoto Urano and Takashi Joh",

year = "2022",

doi = "10.2169/internalmedicine.8003-21",

language = "English",

volume = "61",

pages = "653--656",

journal = "Internal Medicine",

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publisher = "Japanese Society of Internal Medicine",

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T1 - Unusual Gastrointestinal Hemorrhaging Mimicking a Rupture of Solitary Gastric Varices Due to a Gastric Gastrointestinal Stromal Tumor with Exogenous Growth

AU - Ban, Tesshin

AU - Kubota, Yoshimasa

AU - Nakamura, Makoto

AU - Ando, Tomoaki

AU - Sasoh, Shun

AU - Ichikawa, Hiroshi

AU - Takahama, Takuya

AU - Urano, Makoto

AU - Joh, Takashi

PY - 2022

Y1 - 2022

N2 - Gastric gastrointestinal stromal tumors can lead to upper gastrointestinal hemorrhaging, which is usually caused by dimpling or ulceration on the tumor surface. While rare, pedunculated gastric gastrointestinal stromal tumors outside the stomach can present as a huge mass with delayed complaints. We herein report an unusual hemorrhaging mimicking a rupture of solitary gastric varices due to a pedunculated gastric gastrointestinal stromal tumor. In this case, contrast-enhanced computed tomography (CECT) was essential for tumor detection. An endoscopic investigation revealed dilated, aberrant veins and arteries in the submucosa of this tumor, recognized as solitary gastric varices.

AB - Gastric gastrointestinal stromal tumors can lead to upper gastrointestinal hemorrhaging, which is usually caused by dimpling or ulceration on the tumor surface. While rare, pedunculated gastric gastrointestinal stromal tumors outside the stomach can present as a huge mass with delayed complaints. We herein report an unusual hemorrhaging mimicking a rupture of solitary gastric varices due to a pedunculated gastric gastrointestinal stromal tumor. In this case, contrast-enhanced computed tomography (CECT) was essential for tumor detection. An endoscopic investigation revealed dilated, aberrant veins and arteries in the submucosa of this tumor, recognized as solitary gastric varices.

KW - GIST

KW - Gastrointestinal stromal tumor

KW - Pedunculated GIST

KW - Pedunculated gastrointestinal stromal tumor

KW - UGIH

KW - Upper gastrointestinal hemorrhaging

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Unusual Gastrointestinal Hemorrhaging Mimicking a Rupture of Solitary Gastric Varices Due to a Gastric Gastrointestinal Stromal Tumor with Exogenous Growth

Abstract

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