RT Journal Article
SR Electronic
T1 Life-threatening haematochezia in a man with two gastrointestinal stromal tumours
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e243357
DO 10.1136/bcr-2021-243357
VO 14
IS 6
A1 Kinza Moin
A1 Maitha Alneyadi
A1 Sulaiman Shantour
A1 David Olukolade Alao
YR 2021
UL http://casereports.bmj.com/content/14/6/e243357.abstract
AB A man in his 30s was brought by ambulance to the emergency department with a complaint of frank bright red rectal bleeding and dizziness. His blood pressure was 60/18 mm Hg. He was resuscitated with intravenous normal saline and an emergency blood transfusion. Following a negative emergency oesophagogastroduodenoscopy and colonoscopy, an angiographic CT of the abdomen revealed a large tumour in the ileum. After failing to stabilise him with multiple blood transfusions, he had an emergent laparotomy and surgical resection of the tumour, which was confirmed by histocytology as gastrointestinal stromal tumour (GIST). He made full recovery and was discharged home after 10 days. We discussed the challenges of managing significant lower gastrointestinal bleeding and reviewed the current management of GIST.