Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. GISTs of the small bowel are rare, and often present with an abdominal mass and/or bleeding. Chemotherapy and surgery are the mainstay of therapy. Here, we discuss an unusual case of a ruptured jejunal GIST with hemoperitoneum and recurrence despite surgical excision followed by Imatinib treatment. Forty-five cases of ruptured small intestinal GISTs were identified in the literature. Most cases were in males and were found to be at the site of the jejunum.
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http://dx.doi.org/10.1093/jscr/rjac434 | DOI Listing |
Ned Tijdschr Geneeskd
May 2024
Amsterdam UMC, afd. Psychiatrie, Amsterdam.
Background: Anorexia nervosa may cause several gastro-intestinal complications.
Case Description: A 21-year-old woman presented herself with abdominal pain and vomiting a day after her first binge-eating episode. In her recent history she had lost 40 kg in weight and her BMI was 15 at presentation.
J Visc Surg
February 2024
Inserm U1110, Institute of Viral and Liver Diseases, LabEx HepSYS, University of Strasbourg, Medical School, Strasbourg, France; Department of Digestive Surgery and Liver Transplantation, Trousseau Hospital, Tours, France.
Left-sided or segmental portal hypertension (SPHT) is a rare entity, most often associated with pancreatic disease or antecedent pancreatic surgery. The starting point is splenic vein obstruction secondary to local inflammation or, less often, extrinsic compression. SPHT leads to splenomegaly and development of collateral porto-systemic venous circulation.
View Article and Find Full Text PDFLeg Med (Tokyo)
February 2024
Department of Medicine, Legal Medicine, University of Udine, Udine, Italy.
Cureus
May 2023
Pulmonary and Critical Care Medicine, Ascension St. John Hospital, Detroit, USA.
Nutritional support is essential for critically ill patients to reduce mortality and length of stay. Frequently nasogastric (NG) tubes are used to provide enteral nutrition. A very rare risk of NG tube placement is esophageal perforation, most commonly in the thoracic portion of the esophagus.
View Article and Find Full Text PDFCureus
January 2023
Gastroenterology and Hepatology, Mid-America Gastro-Intestinal Consultants, Kansas City, USA.
Primary aorto-duodenal fistula (PADF) is a connection between the aorta and duodenum without prior aortic surgery. We present a case of an 80-year-old female who presented with hematochezia. She was vitally stable but later developed a large episode of hematemesis followed by cardiac arrest.
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