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Revista de cirugía

versión impresa ISSN 2452-4557versión On-line ISSN 2452-4549

Resumen

LOSADA M., Héctor; SANHUEZA V., Felipe; KLEIN D., Marcelo  y  BECKER H., Renato. Duodenal GIST associated with upper gastrointestinal bleeding. Case report. Rev. cir. [online]. 2021, vol.73, n.2, pp.212-216. ISSN 2452-4557.  http://dx.doi.org/10.35687/s2452-45492021002861.

Introduction

Gastrointestinal stromal tumors (GIST), corresponds to 1%, of all gastrointestinal neoplasms, however, only 3%-5% developed in duodenum.

Aim

To report a case of a male patient with atypical location of gastrointestinal stroma tumor and the treatment proposed.

Case report

50-year-old male patient, with medical history of organic brain damage secondary a traumatic brain injury, smoker, occasional alcohol consumer and branquial cystomy during childhood. Consulted in the emergency department for a high digestive hemorrhage case with hemodynamic compromise. Upper digestive endoscopy, computed tomography and nuclear magnetic resonance were performed, which impresses tumor-like lesion in the second duodenal portion.

Discussion

Although the GIST clinical presentation is variable, most often they are asymptomatic patients. In some times, as in this report, they may present with abdominal pain and/or upper gastrointestinal bleeding. The preoperative diagnosis was difficult, because the imaging study (CT, RNM, EDA) only stablished the suspicion and the final diagnosis was made by biopsy (we don't have endosonography in our center). Due to the anatomic repair, there is not a standardized surgery, in this case, due tumor location, infiltration and characteristics, it was decided to perform a pancreatoduodenectomy.

Palabras clave : gastrointestinal stromal tumors; gastrointestinal hemorrhage; pancreatoduodenectomy.

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