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>Journals >Cirugía y Cirujanos >Year 2009, Issue 6

Menéndez-Sánchez P, Villarejo-Campos P, Gambí-Pisonero D, Cubo-Cintas T, Padilla-Valverde D, Martín-Fernández J
Hemorragia digestiva baja e intususcepción subsecuente a tumor del estroma gastrointestinal
Cir Cir 2009; 77 (6)

Language: Español
References: 10
Page: 483-485
PDF: 97.64 Kb.

[Full text - PDF]


Background: Small bowel tumors comprise 25% of gastrointestinal (GI) neoplasms, of which only between 0.2 and 1% correspond to gastrointestinal stromal tumors (GIST). GI bleeding is the most common presentation of GIST, being responsible in 1% of the cases. This type of neoplasm can also be the origin of an intussuception, which is an infrequent process during adult age for representing only 5% of all intestinal obstructions. Clinical case: We report a case of a patient who arrived at the emergency department for abdominal pain and lower GI bleeding. The diagnostic process was not conclusive. After an exploratory laparotomy, the diagnosis was GI bleeding and intussusception due to a GIST. Conclusions: Surgery must be the last diagnostic and therapeutic resource, but it is sometimes necessary to localize bleeding and intestinal obstruction site.

Key words: Gastrointestinal bleeding, melena, intussusception, gastrointestinal stromal tumor.


  1. Hatzaras I, Palesty JA, Abir F, Sullivan P, Kozol RA, Dudrick SJ, et al.Small-bowel tumors: epidemiologic and clinical characteristics of 1260 cases from the Connecticut Tumor Registry. Arch Surg 2007;142:229-235.

  2. 2.Torres M, Matta E, Chinea B, Dueño MI, Martínez-Souss J, Ojeda A, et al. Malignant tumors of the small intestine. J Clin Gastroenterol 2003;37:372- 380.

  3. Martín JG, Aguayo JL, Aguilar J, Torralba JA, Liron R, Miguel J. Invaginación intestinal en el adulto. Presentación de siete casos con énfasis en el diagnóstico preoperatorio. Cir Esp 2001;70:93-97.

  4. Fletcher CD, Berman JJ, Corless C, Gorstein F, Lasota J, Longley BJ, et al. Diagnosis of gastrointestinal stromal tumors: a consensus approach. Hum Pathol 2002;33:459-465.

  5. Artigas-Raventos V, Lopez-Pousa A. Gastrointestinal stromal tumors: new concepts and multidisciplinary medico-surgical therapeutic strategies. Cir Esp 2006;79:1-2.

  6. Rubin BP, Heinrich MC, Corless CL. Gastrointestinal stromal tumour. Lancet 2007;369:1731-1741.

  7. Miettinen M, Lasota J. Gastrointestinal stromal tumors: review on morphology, molecular pathology, prognosis, and differential diagnosis. Arch Pathol Lab Med 2006;130:1466-1478.

  8. Pérez-García R, Xochipostequi-Muñoz CA. Gastrointestinal stromal tumors. Report of two cases. Cir Cir 2007;75:471-475.

  9. Tzen CY, Wang JH, Huang YJ, Wang MN, Lin PC, Lai GL, et al. Incidence of gastrointestinal stromal tumor: a retrospective study based on immunohistochemical and mutational analyses. Dig Dis Sci 2007;52:792- 797.

  10. Fraguela JA, Ares F, Fernández CM, Rosales D, López S, Gómez C. Invaginación intestinal del adulto secundaria a tumores yeyunales con diferenciación neural del sistema autónomo (GAN). An Med Intern 2003;20:621-623.

>Journals >Cirugía y Cirujanos >Year 2009, Issue 6

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