Massive Upper Gastrointestinal Bleeding from Multiple Gastrointestinal Stromal Tumor in a Neurofibromatosis Patient

Sang Bae Kim; Woo Chul Chung

doi:10.4166/kjg.2014.64.5.307

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

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Korean J Gastroenterol 2014;64(5):307-310.

Published online: 4 October 2014

DOI: https://doi.org/10.4166/kjg.2014.64.5.307

Massive Upper Gastrointestinal Bleeding from Multiple Gastrointestinal Stromal Tumor in a Neurofibromatosis Patient

Sang Bae Kim, Woo Chul Chung

Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea

Correspondence to: Woo Chul Chung, Department of Internal Medicine, The Catholic University of Korea, St. Vincent's Hospital, 93 Jungbu-daero, Paldal-gu, Suwon 442-723, Korea. Tel: +82-31-249-7137, Fax: +82-31-253-8898, E-mail: jwchulkr@catholic.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

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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.

Fig. 2.

Abdominal computed tomography. Two well-enhancing lesions (arrows) are observed in the third portion of the duodenum.

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.

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).

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