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"Hye Jin Ki"

Case Report
[English]
Fatal Small Bowel Bleeding with very Low Risk Gastrointestinal Stromal Tumor in Jejunum
Jae Bin Kang, Jae Myung Cha, Joung Il Lee, Kwang Ro Joo, In Taik Hong, Hye Jin Ki
Ewha Med J 2015;38(2):72-75.   Published online July 29, 2015
DOI: https://doi.org/10.12771/emj.2015.38.2.72

Gastrointestinal stromal tumor (GIST) is the most common mesenchymal neoplasm of the gastrointestinal (GI) tract. These tumors are frequently small, asymptomatic and found incidentally. GI bleeding is a common complication of these tumors, but small sized, very low risk GIST rarely complicated with fatal bleeding. In this report, we describe a 42-year-old woman with a jejunal GIST accompanied by severe GI bleeding. She presented with melena and an angiographic embolization was performed for a jejunal mass with bleeding. However, rebleeding was suspected after an angiographic embolization and an emergent segmental resection for the bleeding mass was performed. She was finally diagnosed as a 1.8 cm sized very low risk GIST in jejunum. In conclusion, physician should consider that even very low risk GIST can be the cause of GI bleeding when there is severe bleeding.

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