Acute Gastrointestinal Bleed from a Gastrointestinal Stromal Tumour Impersonating an Arteriovenous Malformation of the Jejunum
Gastrointestinal stromal tumours (GIST) are neoplasms which originate from the mesenchymal tissue of the gastrointestinal tract. We report on a GIST presenting with acute gastrointestinal bleeding that mimicked an arteriovenous malformation (AVM) on imaging and at surgery. A 61-year-old female prese...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2021/6674612 |
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| author | Oshan Basnayake Umesh Jayarajah Nilesh Fernandopulle Sivasuriya Sivaganesh |
| author_facet | Oshan Basnayake Umesh Jayarajah Nilesh Fernandopulle Sivasuriya Sivaganesh |
| author_sort | Oshan Basnayake |
| collection | DOAJ |
| description | Gastrointestinal stromal tumours (GIST) are neoplasms which originate from the mesenchymal tissue of the gastrointestinal tract. We report on a GIST presenting with acute gastrointestinal bleeding that mimicked an arteriovenous malformation (AVM) on imaging and at surgery. A 61-year-old female presented with a short history of melaena and severe anaemia. After resuscitation, upper gastrointestinal endoscopy showed a profusely bleeding varix in the proximal jejunum which was treated with glue injection. Contrast-enhanced CT showed a heterogeneous lesion in the proximal jejunum with strong arterial phase enhancement, supplied by a branch of the superior mesenteric artery and drained by a prominent tributary of the superior mesenteric vein, suggestive of an AVM. The mass was resected, and histology revealed a GIST with no evidence of an AVM or angiodysplasia. A GIST may be considered, though imaging suggests a diagnosis of an AVM in patients presenting with acute gastrointestinal bleeds. In such circumstances, surgical resection and pathological assessment will be confirmatory. |
| format | Article |
| id | doaj-art-7bf6bb7ab4e443508a0a510545210bf7 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-7bf6bb7ab4e443508a0a510545210bf72025-08-20T03:35:44ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/66746126674612Acute Gastrointestinal Bleed from a Gastrointestinal Stromal Tumour Impersonating an Arteriovenous Malformation of the JejunumOshan Basnayake0Umesh Jayarajah1Nilesh Fernandopulle2Sivasuriya Sivaganesh3Professorial Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri LankaProfessorial Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Surgery, Faculty of Medicine, University of Colombo, Sri LankaDepartment of Surgery, Faculty of Medicine, University of Colombo, Sri LankaGastrointestinal stromal tumours (GIST) are neoplasms which originate from the mesenchymal tissue of the gastrointestinal tract. We report on a GIST presenting with acute gastrointestinal bleeding that mimicked an arteriovenous malformation (AVM) on imaging and at surgery. A 61-year-old female presented with a short history of melaena and severe anaemia. After resuscitation, upper gastrointestinal endoscopy showed a profusely bleeding varix in the proximal jejunum which was treated with glue injection. Contrast-enhanced CT showed a heterogeneous lesion in the proximal jejunum with strong arterial phase enhancement, supplied by a branch of the superior mesenteric artery and drained by a prominent tributary of the superior mesenteric vein, suggestive of an AVM. The mass was resected, and histology revealed a GIST with no evidence of an AVM or angiodysplasia. A GIST may be considered, though imaging suggests a diagnosis of an AVM in patients presenting with acute gastrointestinal bleeds. In such circumstances, surgical resection and pathological assessment will be confirmatory.http://dx.doi.org/10.1155/2021/6674612 |
| spellingShingle | Oshan Basnayake Umesh Jayarajah Nilesh Fernandopulle Sivasuriya Sivaganesh Acute Gastrointestinal Bleed from a Gastrointestinal Stromal Tumour Impersonating an Arteriovenous Malformation of the Jejunum Case Reports in Surgery |
| title | Acute Gastrointestinal Bleed from a Gastrointestinal Stromal Tumour Impersonating an Arteriovenous Malformation of the Jejunum |
| title_full | Acute Gastrointestinal Bleed from a Gastrointestinal Stromal Tumour Impersonating an Arteriovenous Malformation of the Jejunum |
| title_fullStr | Acute Gastrointestinal Bleed from a Gastrointestinal Stromal Tumour Impersonating an Arteriovenous Malformation of the Jejunum |
| title_full_unstemmed | Acute Gastrointestinal Bleed from a Gastrointestinal Stromal Tumour Impersonating an Arteriovenous Malformation of the Jejunum |
| title_short | Acute Gastrointestinal Bleed from a Gastrointestinal Stromal Tumour Impersonating an Arteriovenous Malformation of the Jejunum |
| title_sort | acute gastrointestinal bleed from a gastrointestinal stromal tumour impersonating an arteriovenous malformation of the jejunum |
| url | http://dx.doi.org/10.1155/2021/6674612 |
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