Stromal Tumor of the Jejunum Complicated by Hemorrhagic Shock-A Case Report
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 5, Issue 9
Abstract
Stromal tumors of the small bowel, commonly known as GIST (Gastrointestinal Stromal Tumors) are mesenchymal tumors of uncertain prognosis. They develop in the wall of the digestive tract. They are usually asymptomatic, incidentally discovered during endoscopy or during surgery. Identifying gastrointestinal stromal tumor is facilitated by a relatively specific marker, c-kit. Diagnosis is confirmed by histological examination of the surgical specimen. They pose two problems first is to confirm the diagnosis and second problem is to assess their evolutionary potential and customize the therapeutic management. We report the case of a patient aged 34 years with no history of prior illness. He was admitted a year ago in the emergency room in a state of hemorrhagic shock due to lower gastro intestinal (GI) bleeding for three days. The patient underwent conservative therapy with I.V fluids and blood transfusions. An endoscopic assessment consisting of upper and lower GI(UGIE and colonoscopy) was done but that did not reveal any abnormalities. Surgical exploration revealed a tumor 1 meter distal to the ligament of Treitz. Rest of the exploration was unremarkable. The tumor along with small bowel was resected and end to end anastomosis was performed. The postoperative course was uneventful. Histological study of the surgical specimen confirmed that this was a stromal tumor with low potential of malignancy. The staging did not reveal any secondary lesions. Stromal tumors are often asymptomatic, lower GI bleeding is an exceptional way of presentation. Complete resection of the tumor is the treatment of choice. The recent development of targeted therapies and molecular biology is a new hope in the treatment of these tumors. The aim of this case study is to review the diagnostic and therapeutic aspects of this disease, and explain that hemorrhagic shock can be due to jejunal stromal tumor.
Authors and Affiliations
Y. Fahmi, A. El Bakouri, D. Khaiz, F. Z. Bensardi, K. Hattabi, S. Berrada, R. Lefriyekh, N. Benissa, A. Fadil
Keywords
Related Articles
- EP ID EP347564
- DOI 10.9734/BJMMR/2015/11991
- Views 78
- Downloads 0
Antimicrobial Susceptibility Pattern of Haemophilus influenzae among Under-five Children Presenting at the Emergency Paediatric Unit (EPU) of Two Teaching Hospitals in Jos, Nigeria
Background: Haemophilus influenzae meningitis is a leading cause of endemic bacterial meningitis in infants and under-five children globally. H. influenza infection is severe where vaccine is not routinely used and one-t...
Comparative Analysis of Maternal and Perinatal Outcomes of Trial of Vaginal Birth and Planned Repeat Caesarean Section Following a Prior Caesarean
Background: Delivery following a previous caesarean section is associated with the fear of increased maternal and perinatal morbidity and mortality. The optimal mode of such delivery remains critical with increasing rate...
Is Childhood Ocular Trauma More Often in Families with Low Socio-economic Level?
Aim: To examine whether socioeconomic status as determined by the number of siblings, educational level, and monthly household income is associated with childhood eye injuries. Materials and Methods: Eighty six patients...
Differentiation of Hemodynamics of Top Athletes Depending on Heart Rate Variability after Training
Aims: To predict the functional status of the cardiorespiratory system of athletes based on results of responses to exercise. Study Design: Case-control study. Place and Duration of Study: Palace of Sports "Dynamo" in Lv...
Evaluation of the Female Sexual Dysfunction in a Sample of Iranian Infertile Women
Introduction: Female sexual dysfunction (FSD) is recognized as a widespread health problem. Infertility may result in increased sexual dysfunction. The aim of this study was to evaluate the prevalence of FSD and some dem...