Nontraumatic Hemoperitoneum Due to Spontaneous Gastrointestinal Stromal Tumor Rupture: A Case Report

自發性的胃腸道間質腫瘤破裂引發非創傷性腹腔積血：病例報告

王仲毅(Chung-Yi Wang) ； 杜偉寧(Frank Du) ； 黃世明(Shih-Ming Huang) ； 蔡耀中(Yao-Chung Tsai)

《中華放射線醫學雜誌》 34卷4期 (2009/12) Pp. 293-297

摘要

我們敘述一位51歲先前健康的男性病患，抱怨忽然發生的腹痛，理學檢查發現有明顯腹膜炎之症狀，而腹部電腦斷層檢查則顯示有一高血管性之實質腫瘤，且同時發現大量的腹腔積血，胃腸道間質腫瘤被高度懷疑。而經緊急開腹手術及腫瘤切除後，病人於開刀17天後順利出院，腫瘤免疫組織化學特性則證實是胃腸道間質腫瘤。

並列摘要

This study describes the case of a previously healthy 51-year-old male patient who complained of sudden abdominal pain. Physical examinations revealed overt peritonitis, and computed tomography showed a hypervascular solid tumor with massive hemoperitoneum. Gastrointestinal stromal tumor (GIST) rupture was highly suspected. Emergent laparotomy with surgical resection of the tumor was performed and the patient was discharged home uneventfully on the 17th postoperative day. The immunohistochemical characteristics of the tumor revealed it to be a gastrointestinal stromal tumor.