Navas D, Ríos A, Febrero B, Rodríguez JM, Lloret F, Parrilla P

Language: Spanish
References: 9
Page: 686-689
PDF size: 678.77 Kb.

ABSTRACT

Background: Gastrointestinal stromal tumors (GIST) were identified only recently. These tumors usually have no symptoms, although they are localized, operable and curable. Although rare, if they are not diagnosed and treated early, they become very aggressive. The most common manifestation is gastrointestinal bleeding from mucosal erosion. Their presentation as severe lower gastrointestinal bleeding is exceptional.
Clinical case: We report a patient with severe lower gastrointestinal bleeding stabilized by interventional radiology that subsequently required surgery for definitive care.
Conclusions: Therapeutic use of radiological embolization is increasingly widespread in bleeding at various levels, achieving hemodynamic stabilization of patients. However, it must be kept in mind that, in cases of unknown etiology of lower gastrointestinal bleeding, possible causes must be investigated.

REFERENCES

1. Acín-Gándara D, Pereira-Pérez F, Castaño-Pascual Á, Durán- Poveda M, Antequera-Pérez A, Miliani-Molina C. Tumores estromales gastrointestinales: diagnóstico y tratamiento. Cir Cir 2012;80(1):44-51.

2. Poveda A, Artigas V, Casado A, Cervera J, García Del Muro X, López-Guerrero A, et al. Clinical practice guidelines in gastrointestinal stromal tumours (GEIS): update 2008. Cir Esp 2008;84(Supl 1):1-21.

3. Alamo Martínez JM, Bernal Bellido C, Socas Macías M, García- Moreno J, Suárez Grau JM, Galindo Galindo A. Massive mesenteric angiomatosis and low digestive haemorrhage in a patient with Klippel-Trenaunay-Weber syndrome. Rev Esp Enferm Dig 2007;99(2):112-113.

4. Monnin V, Sengel C, Thony F, Bricault I, Voirin D, Letoublon C, et al. Place of Arterial Embolization in Severe Blunt Hepatic Trauma: A Multidisciplinary Approach. Cardiovasc Intervent Radiol 2008;31:875-882.

5. Ríos A, Montoya MJ, Rodríguez JM, Serrano A, Molina J, Ramírez P, et al. Severe acute lower gastrointestinal bleeding: risk factors for morbidity and mortality. Langenbecks Arch Surg 2007;392(2):165-171.

6. Ríos A, Montoya MJ, Rodríguez JM, Parrilla P. Acute lower gastrointestinal hemorrhage originating in the small intestine. Rev Esp Enferm Dig 2006;98(3):196-203.

7. Ríos Zamudio A, Montoya Tabares MJ, Rodríguez González JM, Febrero Sánchez B, Albaladejo Meroño A, Molina J, et al. Severe lower gastrointestinal tract bleeding due to diverticulosis. Gastroenterol Hepatol 2010;33(5):363-369.

8. Ríos A, Capel A, Del Pozo M. Hemorragia digestive masiva baja tratada mediante embolización supraselectiva. Gastroenterol Hepatol 2004;27(5);344-346.

9. Menéndez-Sánchez P, Villarejo-Campos P, Gambí-Pisonero D, Cubo-Cintas T, Padilla-Valverde D, Martín-Fernández J. Hemorragía digestive baja e intususcepción subsecuente a tumor del estroma gastrointestinal. Cir Ciruj 2009;77(6):483-485.