Korean J Gastrointest Endosc > Volume 41(1); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(1): 26-30.
점막하 혈관 종양으로 오인된 십이지장 위장관 기질종양 1예
양정경ㆍ김용석ㆍ구훈섭ㆍ김광일ㆍ김선문ㆍ임의혁ㆍ허규찬ㆍ이상억*
건양대학교 의과대학 내과학교실, *외과학교실
A Case of Duodenal Gastrointestinal Stromal Tumor Mimicking a Vascular Neoplasm
Jung Kyung Yang, M.D., Yong Seok Kim, M.D., Hoon Sup Koo, M.D., Kwang Il Kim, M.D., Sun Moon Kim, M.D., Euyi Hyeog Im, M.D., Kyu Chan Huh, M.D. and Sang Eok Lee, M.D.*
Departments of Internal Medicine, *General Surgery, Konyang University College of Medicine, Daejeon, Korea
Abstract
Gastrointestinal stromal tumors (GIST) are the most common mesenchymal neoplasm of the gastrointestinal tract. They are preferentially located in the stomach and small intestine. However, the duodenum is an unusual location for GIST. Here we present a case of a 67-year-old woman with a GIST of the 3rd portion of duodenum mimicking vascular neoplasm as an obscure acute gastrointestinal bleeding. The upper gastrointestinal endoscopy and colonoscopy failed to find the lesion. Finally, a large protruded lesion with ulcer was found at the 3rd portion of duodenum using a colonoscope through the oral approach. A spurting bleeding was developed during hypertonic saline epinephrine injection for treatment of oozing bleeding at the margin of the ulcer. Abdominal 3D CT-angiography showed a round and hypervascular structure at the posterior wall of duodenum. A wedge resection of the third portion of the duodenum was performed. Microscopic findings revealed GIST. (Korean J Gastrointest Endosc 2010;41:26-30)
Key Words: GIST, Duodenum, Vascular neoplasm
주요어: 위장관 기질종양, 십이지장, 혈관종양
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
CrossRef TDM  CrossRef TDM
  E-Mail
Share:      
METRICS
1,433
View
7
Download
Related articles
Gastroduodenal Intussusception of a Gastrointestinal Stromal Tumor: A Rare Cause of Acute Pancreatitis  
Endoscopic Treatment for Gastrointestinal Stromal Tumors in the Upper Gastrointestinal Tract  2020 July;53(4)
Efficacy and Safety of Endoscopic Treatment for Gastrointestinal Stromal Tumors in the Upper Gastrointestinal Tract  2020 July;53(4)
A Case of Gossypiboma Masquerading as a Gastrointestinal Stromal Tumor  2011 September;44(1)
A Case of an Exoluminal Gastrointestinal Stromal Tumor That Was Confused with a Metastatic Lymph Node in Early Gastric Cancer  2010 November;41(5)
Editorial Office
Korean Society of Gastrointestinal Endoscopy
#817, 156 Yanghwa-ro(LG Palace, Donggyo-dong), Mapo-gu, Seoul, 04050, Korea
TEL: +82-2-335-1552   FAX: +82-2-335-2690    E-mail: ce@kams.or.kr
Copyright © Korean Society of Gastrointestinal Endoscopy.                 Developed in M2PI
Close layer