Korean J Gastrointest Endosc.
2007 Nov;35(5):337-341.
A Case of a Gastric Gastrointestinal Stromal Tumor with a Fistula and Gastrointestinal Bleeding
- Affiliations
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- 1Department of Internal Medicine, Maryknoll Medical Center, Busan, Korea. drhwpark@yahoo.co.kr
- 2Department of Pathology, Maryknoll Medical Center, Busan, Korea.
Abstract
- There has been much debate on the origin, differentiation and prognosis of gastrointestinal stromal tumors (GIST). Based on recent studies, we consider Cajal interstitial cell as the origin of a GIST. The common symptoms of a GIST are abdominal pain, hemorrhage, and the presence of a mass. However, there are few reported cases of a GIST with abscess pockets that communicate with the lumen of the stomach via a fistula. We report a case of a GIST of the stomach presenting with an abscess and a fistula communicating with the lumen of the stomach. An 84-year-old man presented with continuous fever and general weakness. We were able to diagnose the disease by an endoscopic examination, CT scan, biopsy and by cellular immunohistochemical staining.
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