Spontaneous haemoperitoneum caused by a bleeding gastric gastrointestinal stromal tumour.

Autor:	Nandakumar BM; General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, India nandakumarm548@gmail.com., Agarwal N; General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, India., Vaidhyanathan V; General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, India., Hiremath S; General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, India.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2024 Sep 05; Vol. 17 (9). Date of Electronic Publication: 2024 Sep 05.
DOI:	10.1136/bcr-2024-260108
Abstrakt:	Spontaneous haemoperitoneum is described as a collection of blood in the peritoneal cavity due to non-traumatic aetiology. Common causes in the literature include splenic, hepatic and gynaecological pathology. Patients with spontaneous haemoperitoneum usually present with non-specific dull aching abdominal pain. Spontaneous haemoperitoneum can only be radiologically diagnosed and, if not treated in time, is life threatening. Rupture of a gastrointestinal stromal tumour (GIST) presenting as a spontaneous haemoperitoneum is a rare event. Gastric GIST presents as ambiguous abdominal pain, complications of which include melena, obstruction and rupture. This is a report of a male patient in his early 60s who presented with acute abdominal pain. A contrast-enhanced CT of the abdomen showed haemoperitoneum with an unknown source of origin. Diagnostic laparoscopy showed a bleeding exophytic mass arising from the stomach, which was resected. Thus, early diagnosis with proper imaging and prompt treatment has a favourable outcome. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu