| 篇名 |
Hemoperitoneum from a Spontaneously Ruptured Rectal Stromal Tumor: Report of a Case |
| 作者 |
Horng-Ren Yang, Yu-Chun Wang, I-Ping Chiang,Ping-Kuei Chung, Long-Bin Jeng, Ray-Jade Chen |
| 卷期/出版年月 |
38卷5期 (2005/10) |
| 頁次 |
251-255 |
| 摘要 |
Among the diverse clinical presentations of gastrointestinal stromal tumor (GIST),
spontaneous rupture with hemoperitoneum is extremely rare. We report herein a case
of a 53-year-old man with a spontaneously ruptured rectal stromal tumor presenting
with hemoperitoneum. The patient was brought to our emergency department with
generalized abdominal pain. Abdominal computed tomography scan revealed a giant
mass arising from the pelvic cavity and a moderate amount of intra-abdominal fluid
collection. Paracentesis yielded bloody fluid. The diagnosis of hemoperitoneum due to
a ruptured intra-abdominal tumor was made. At laparotomy, a ruptured pelvic mass
with dissemination of its necrotic tissue and bloody fluid in the peritoneal cavity was
found. The tumor was excised together with the involved rectum. Immunohistochemical
examination revealed positive reactivity to c-kit protein and CD34. The
patient had an uneventful postoperative course except for an episode of urinary tract
infection. |
| 關鍵詞 |
gastrointestinal neoplasms, rectum, rupture, hemoperitoneum |
| 分類 |
Case Report |
