Korean J Gastrointest Endosc > Volume 41(1); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(1): 26-30.
점막하 혈관 종양으로 오인된 십이지장 위장관 기질종양 1예
건양대학교 의과대학 내과학교실, *외과학교실
A Case of Duodenal Gastrointestinal Stromal Tumor Mimicking a Vascular Neoplasm
Jung Kyung Yang, M.D., Yong Seok Kim, M.D., Hoon Sup Koo, M.D., Kwang Il Kim, M.D., Sun Moon Kim, M.D., Euyi Hyeog Im, M.D., Kyu Chan Huh, M.D. and Sang Eok Lee, M.D.*
Departments of Internal Medicine, *General Surgery, Konyang University College of Medicine, Daejeon, Korea
Gastrointestinal stromal tumors (GIST) are the most common mesenchymal neoplasm of the gastrointestinal tract. They are preferentially located in the stomach and small intestine. However, the duodenum is an unusual location for GIST. Here we present a case of a 67-year-old woman with a GIST of the 3rd portion of duodenum mimicking vascular neoplasm as an obscure acute gastrointestinal bleeding. The upper gastrointestinal endoscopy and colonoscopy failed to find the lesion. Finally, a large protruded lesion with ulcer was found at the 3rd portion of duodenum using a colonoscope through the oral approach. A spurting bleeding was developed during hypertonic saline epinephrine injection for treatment of oozing bleeding at the margin of the ulcer. Abdominal 3D CT-angiography showed a round and hypervascular structure at the posterior wall of duodenum. A wedge resection of the third portion of the duodenum was performed. Microscopic findings revealed GIST. (Korean J Gastrointest Endosc 2010;41:26-30)
Key Words: GIST, Duodenum, Vascular neoplasm
주요어: 위장관 기질종양, 십이지장, 혈관종양
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