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Case Report
Online Published: 14 Oct 2015
 


UPPER GASTRO-INTESTINAL BLEEDING IN THE YOUNG - GASTRIC GIST TUMOR OR PEPTIC ULCER DISEASE?

Ayodele Atolagbe, Rahaman Oloruntobi, Ogunleye Adeyemi, Apakama Chukwuemeka.


Cited By: 1

Abstract
GIST tumors is very unusual in the young and middle aged and a high index of suspicion is needed for the diagnosis in young patients who present with upper gastrointestinal bleeding. Appropriate imaging such as a Computed tomographic scan (CT scan) may identify this tumor which may easily be misdiagnosed as a bleeding Peptic Ulcer Disease in the young.
We present a case of a healthy 38 year old man with no alcohol use who presented with epigastric pain and melena and subsequent torrential bleeding uncontrolled during endoscopy necessitating an emergency exploratory laparotomy by the general surgery team. The bleeding intraluminal component of the tumor with gross splenic and pancreatic involvement was identified and surgical management consisted of a wedge resection of the greater curvature of the stomach incorporating the tumor and the spleen with successful dissection of the tumor off the tail of the pancreas. Histology was positive for C-KIT and DOG-1 markers. Postoperative course was uneventful and he is presently on Imatinib Mesylate.

Key words: Gastrointestinal stromal tumor; endoscopy; C-KIT, DOG-1


 
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How to Cite this Article
Pubmed Style

Atolagbe A, Oloruntobi R, Adeyemi O, Chukwuemeka A. UPPER GASTRO-INTESTINAL BLEEDING IN THE YOUNG - GASTRIC GIST TUMOR OR PEPTIC ULCER DISEASE?. Int J Surg Med. 2015; 1(2): 72-75. doi:10.5455/ijsm.20150917100638

Web Style

Atolagbe A, Oloruntobi R, Adeyemi O, Chukwuemeka A. UPPER GASTRO-INTESTINAL BLEEDING IN THE YOUNG - GASTRIC GIST TUMOR OR PEPTIC ULCER DISEASE?. https://www.ejos.org/?mno=201307 [Access: June 22, 2026]. doi:10.5455/ijsm.20150917100638

AMA (American Medical Association) Style

Atolagbe A, Oloruntobi R, Adeyemi O, Chukwuemeka A. UPPER GASTRO-INTESTINAL BLEEDING IN THE YOUNG - GASTRIC GIST TUMOR OR PEPTIC ULCER DISEASE?. Int J Surg Med. 2015; 1(2): 72-75. doi:10.5455/ijsm.20150917100638


Vancouver/ICMJE Style

Atolagbe A, Oloruntobi R, Adeyemi O, Chukwuemeka A. UPPER GASTRO-INTESTINAL BLEEDING IN THE YOUNG - GASTRIC GIST TUMOR OR PEPTIC ULCER DISEASE?. Int J Surg Med. (2015), [cited June 22, 2026]; 1(2): 72-75. doi:10.5455/ijsm.20150917100638


Harvard Style

Atolagbe, A., Oloruntobi, . R., Adeyemi, . O. & Chukwuemeka, . A. (2015) UPPER GASTRO-INTESTINAL BLEEDING IN THE YOUNG - GASTRIC GIST TUMOR OR PEPTIC ULCER DISEASE?. Int J Surg Med, 1 (2), 72-75. doi:10.5455/ijsm.20150917100638


Turabian Style

Atolagbe, Ayodele, Rahaman Oloruntobi, Ogunleye Adeyemi, and Apakama Chukwuemeka. 2015. UPPER GASTRO-INTESTINAL BLEEDING IN THE YOUNG - GASTRIC GIST TUMOR OR PEPTIC ULCER DISEASE?. International Journal of Surgery and Medicine, 1 (2), 72-75. doi:10.5455/ijsm.20150917100638


Chicago Style

Atolagbe, Ayodele, Rahaman Oloruntobi, Ogunleye Adeyemi, and Apakama Chukwuemeka. "UPPER GASTRO-INTESTINAL BLEEDING IN THE YOUNG - GASTRIC GIST TUMOR OR PEPTIC ULCER DISEASE?." International Journal of Surgery and Medicine 1 (2015), 72-75. doi:10.5455/ijsm.20150917100638


MLA (The Modern Language Association) Style

Atolagbe, Ayodele, Rahaman Oloruntobi, Ogunleye Adeyemi, and Apakama Chukwuemeka. "UPPER GASTRO-INTESTINAL BLEEDING IN THE YOUNG - GASTRIC GIST TUMOR OR PEPTIC ULCER DISEASE?." International Journal of Surgery and Medicine 1.2 (2015), 72-75. Print. doi:10.5455/ijsm.20150917100638


APA (American Psychological Association) Style

Atolagbe, A., Oloruntobi, . R., Adeyemi, . O. & Chukwuemeka, . A. (2015) UPPER GASTRO-INTESTINAL BLEEDING IN THE YOUNG - GASTRIC GIST TUMOR OR PEPTIC ULCER DISEASE?. International Journal of Surgery and Medicine, 1 (2), 72-75. doi:10.5455/ijsm.20150917100638


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