[Gastric stomal tumor revelated by post traumatic rupture]
Maroc Medical. 2005; 27 (1): 30-33
in French
| IMEMR
| ID: emr-73196
ABSTRACT
The rupture of stromal gastric tumour is an exceptional cause of hemoperitoneum. We report a case of ruptured stromal gastric tumor in the peritoneal cavity after a contusion of the left hypochondrial region in a 58 years old male patient operated in emergency for an acute anemia thought to be caused by a pathological rupture of the spleen. The emergency laparotomy revealed an exo-gastric tumor located in a fundus intimately linked with the spleen. Therefore, we realized a partial gastrectomy and the patient was treated by chemotherapy with Glivec [R] [imatinib]. The evolution was favorable for two years without recurrence. The traumatic rupture of a stromal gastric tumour is an exceptional event. The diagnosis is rarely evocated before intervention. It constitutes an predicative sign of malignancy. The circumstances of finding a stromal gastric tumour are not specific. However, their rupture indicates an urgent laparotomy in order to perform a hemostatic gastrectomy
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Rupture
/
Stomach Neoplasms
/
Gastrectomy
/
Laparotomy
Type of study:
Case report
Limits:
Humans
/
Male
Language:
French
Journal:
Maroc Med.
Year:
2005
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