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Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 58
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
Introduction:
Stromal tumours consist of 1% of the tumors in the
upper GI. Their most frequent presentation is in the stomach in
50-60% of the cases. Our aim is to present three cases of delayed
diagnosis of stromal tumour in the stomach and duodenum.
Case Description:
Three patients of 80 years old, 76 years old and
84 years old came to the emergency department with symptoms
of intra-abdominal bleeding. The first patient with epigastric
discomfort, the second and the third patient signs of upper GI
bleeding. In the first two patients there was a palpable epigasatric
mass on examination. Prior to their hospitalization all three
patients were asymptomatic.
Results:
Initial treatment was conservative to stabilize the
patients. In one of the patients, gastroscopy has shown a mass
in the duodenum. In the second patient showed a pressure in the
lesser arch of stomach without any disturbances in the mucosal
layer. In the third patient there were no findings. CT abdomen
showed a great size tumour at the wall of the stomach. In one of
the patients there was a perforation of a haemorrhagic exophytic
tumour. The second patient had large sized exophytic tumour.
Third patient had a mass in the duodenum extending in the
jejunum.
Conclusions:
Extrinsic localization of stromal tumours is the
cause of late diagnosis resulting in cases of impossible surgical
resection.
gvelvel@gmail.comStomach GIST: extrinsic extension results in the cause of
delayed diagnosis
Georgios Velimezis, Andreas Skarpas, Andreas Tellos, Argyrios Ioannidis, Chris-
tos Koutseribas, Petros Siaperas
and
Ioannis Karanikas
Sismanogleio General Hospital, Greece
Med Case Rep. 2018, Volume 4
DOI: 10.21767/2471-8084-C1-003