Korean J Gastrointest Endosc > Volume 26(4); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;26(4): 210-213.
위 누공을 형성한 위의 위장관 간질종양 1예
김희정·이호상·오현종·김창환·김지훈·남순우 김진일·박수헌·한준열·김재광·정규원·선희식
가톨릭대학교 의과대학 내과학교실
A Case of Gastrointestinal Stromal Tumor of the Stomach with a Gastric Fistula
Hee Joung Kim, M.D., Ho Sang Lee, M.D., Hyun Jong Oh, M.D., Chang-Whan Kim, M.D.,
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Gastrointestinal stromal tumors (GIST) are mesenchymal gut tumors that lack markers of myogenic differentiation, but express CD34 and CD117, which are products of the c-kit oncogene. They present commonly gastrointestinal bleeding and abdominal pain and/or palpable mass. The other symptoms may include anorexia, weight loss, obstruction, perforation or fever. Fever due to abscess formation is rare complaint of GIST.

We report a case of GIST of stomach with abscess and gastric fistula in a 54-year-old male who presented a three-week history of abdominal pain and fever. Fistula opening site was observed by endoscope, and abdominal CT showed multiple air pockets within the mass representing communication with bowel lumen by fistula. (Korean J Gastrointest Endosc 2003;26:210⁣213)

Key Words: Gastrointestinal stromal tumor (GIST), Gastric fistula, Abscess
주요어: 위의 간질종양, 위 누공, 농양
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