Journal List > Korean J Gastroenterol > v.64(5) > 1007303

Kim and Chung: Massive Upper Gastrointestinal Bleeding from Multiple Gastrointestinal Stromal Tumor in a Neurofibromatosis Patient

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Fig. 1.
Initial esophagogastroduod-enoscopy. Mass-like lesions with overlying normal mucosa and central ulceration are seen in the 2nd and 3rd portion of the duodenum.
kjg-64-307f1.tif
Fig. 2.
Abdominal computed tomography. Two well-enhancing lesions (arrows) are observed in the third portion of the duodenum.
kjg-64-307f2.tif
Fig. 3.
Gastrointestinal bleeding scan with Tc-99m labeled red blood cell (RBC). An area of accumulation of Tc-99m RBC is noted at left upper abdomen with increased amount of activity and distal migration, suggesting bleeding from upper jejunum. ANT, anterior.
kjg-64-307f3.tif
Fig. 4.
Histologic examination of the biopsy specimen. (A) Spindle shaped cells arranged in fascicular pattern are seen (H&E, ×100). (B) Tumor cells are positive for CD 117 on immunohistochemical staining (×100).
kjg-64-307f4.tif
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