Severe upper digestive hemorrhage by Gist Yeyunal - National Hospital of Itauguá
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Abstract
Gastrointestinal Stromal Tumor is a neoplasm that affects patients over 50 years of age. They are common in the gastrointestinal tract. It is diagnosed by searching for CD-117 in immunohistochemistry. The clinical presentation ranges from asymptomatic to symptomatic. This work presents a case of jejunal GIST manifested by an episode of upper gastrointestinal bleeding.
Patient with a picture of blackish stools, of 48 hours of evolution, on several occasions. They accompany bloody vomit on one occasion; Severe, stitch-like abdominal pain in the left flank, radiating to the entire abdomen. Physical exam: stools blackish on rectal examination. Laboratory studies: GB: 10,800 N: 85%, Hb: 3 and Hto: 9.8. Abdominal ultrasound: delimited nodular formation on the left flank. Operation: At the 4th DDI, exploratory laparotomy, jejunal resection, end-to-end anastomosis. Pathology: spindle cell mesenchymal neoplasia, GIST differential dx. Immunohistochemistry: GIST, CD-117 c-KIT positive
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