Emergency hand assisted laparoscopic surgery [HALS] resection of a benign intragastric stromal tumour

A 52 years old male presented to the local casualty department, following an episode of binge drinking, with a history of malaena, upper abdominal pain and haematemesis. He was resuscitated in the emergency department and underwent endoscopy, which was inconclusive. He had a repeat episode of haematemesis while in the hospital and underwent transfusion of twelve units of packed red cells. Repeated endoscopy showed an intra gastric stromal tumour [GIST]. It was decided to operate on him using Hand Assisted Laparoscopic Surgery[HALS]. Emergency HALS is the first reported case in indexed literature, to deal with this sort of tumour