13 December 2018
: Case report 
A Rare Case of a Ruptured Metastatic Hepatic Lesion from a Jejunal Gastrointestinal Stromal Tumor (GIST) Treated by Arterial Embolization
Challenging differential diagnosis, Rare disease
Hassan Salame1CDF, Mahdi Issa2ABDF, Gregory Nicolas3ACDF*, Juliano Haddad4ABDEF, Marwan M. Haddad5BCE, Firas S. Farhat6BCEF, Hussein Moubarak2BDE, Tony Kfoury2BDEF, Elie Zaghrini7CDEG, Raja Wakim2ABDGDOI: 10.12659/AJCR.910061
Am J Case Rep 2018; 19:1480-1487
Abstract
BACKGROUND: Gastrointestinal stromal tumors (GISTs) are rare gastrointestinal neoplasms. The spontaneous rupture of a jejunal GIST is very rare and spontaneous rupture of liver metastasis from an intestinal GIST is even rarer with only a few cases reported in the literature.
CASE REPORT: In this article, we reported a case of spontaneous rupture of a liver metastasis from a malignant jejunal GIST that presented with active tumoral bleeding, hypovolemic shock, and hemoperitoneum. The patient was successfully treated with arterial embolization of the tumor.
CONCLUSIONS: In appropriately selected patients, arterial embolization appears to be an effective safe treatment for a GIST metastasis rupture.
Keywords: Chemoembolization, Therapeutic, Endoscopy, Gastrointestinal, Gastrointestinal Hemorrhage
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