Recurrent Lower Gastrointestinal Bleeding: Ileal GIST Diagnosed by Video Capsule Endoscopy—A Case Report and Literature Review
Joint Authors
Rangraj, Madhu
Lamsen, Marie
Ling, Jie
Jesmajian, Stephen
Deliana, Danila
Siddiqui, Sabah
Coron, Roger
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-08-21
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Gastrointestinal stromal tumor (GIST) in the ileum is an extremely rare cause of recurrent lower gastrointestinal bleeding (GIB).
Case Report.
An 89-year-old man was admitted with melana.
He had extensive PMH of CAD post-CABG/AICD, AAA repair, chronic anemia, myelodysplastic syndrome, lung cancer after resection, and recurrent GIB.
Prior EGDs, colonoscopies, and upper device-assisted enteroscopy showed duodenal ulcer, A-V malformation s/p cauterization, and angioectasia.
On admission, Hb was 6.0 g/dL.
An endoscopic capsule study showed an ulcerated tumor in the ileum.
CT showed no distant metastasis.
The lesion was resected successfully and confirmed as a high-grade GIST.
The patient was discharged with no further bleeding.
Discussion.
Early diagnosis for patients with ileal GIST is often challenging.
Video capsule endoscopy and double balloon enteroscopy could be useful diagnostic tools.
Surgical removal is the first line for a resectable GIST.
Imatinib has become the standard therapy.
Conclusion.
This is a unique case of an ileal GIST in a patient with recurrent GIB which was diagnosed by video capsule.
Complicated medical comorbidities often lead to a significant delay in diagnosis.
Therefore, we recommend that if GIB does not resolve after appropriate treatments for known causes, the alternative diagnosis for occult GIB must be considered, including malignancy such as GIST.
American Psychological Association (APA)
Ling, Jie& Lamsen, Marie& Coron, Roger& Deliana, Danila& Siddiqui, Sabah& Rangraj, Madhu…[et al.]. 2013. Recurrent Lower Gastrointestinal Bleeding: Ileal GIST Diagnosed by Video Capsule Endoscopy—A Case Report and Literature Review. Case Reports in Gastrointestinal Medicine،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-1005680
Modern Language Association (MLA)
Ling, Jie…[et al.]. Recurrent Lower Gastrointestinal Bleeding: Ileal GIST Diagnosed by Video Capsule Endoscopy—A Case Report and Literature Review. Case Reports in Gastrointestinal Medicine No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-1005680
American Medical Association (AMA)
Ling, Jie& Lamsen, Marie& Coron, Roger& Deliana, Danila& Siddiqui, Sabah& Rangraj, Madhu…[et al.]. Recurrent Lower Gastrointestinal Bleeding: Ileal GIST Diagnosed by Video Capsule Endoscopy—A Case Report and Literature Review. Case Reports in Gastrointestinal Medicine. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-1005680
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1005680