A rare case of concomitant huge exophytic gastrointestinal stromal tumor of the stomach and Kasabach-Merritt phenomenon
2007

Rare Case of Stomach Tumor and Coagulopathy

Sample size: 1 publication Evidence: low

Author Information

Author(s): Watanabe Taiji, Segami Kohei, Sasaki Takahiro, Kawashima Hatsuya, Enomoto Takeharu, Jinnouchi Yuji, Koizumi Satoshi, Tobe Naotaka, Sakurai Joh, Shimamura Tsukasa, Suda Tadashi, Asakura Takeshi, Nakano Hiroshi, Ichiroh Tanaka, Otsubo Takehito

Primary Institution: Department of Gastoenterological and General Surgery, St. Marianna University School of Medicine

Conclusion

The coagulopathy in this case was likely caused by the trapping of platelets within a large, hypervascular tumor mass.

Supporting Evidence

  • The patient had a 25 × 30 cm hard mass in the abdomen.
  • Histopathology showed large spindle cell GIST with significant mitotic activity.
  • The postoperative course was uneventful, and coagulopathy improved rapidly.

Takeaway

This study talks about a man with a huge stomach tumor that caused a serious blood condition. After treatment, the tumor was removed and the man's health improved.

Methodology

The patient underwent imaging studies, received platelet transfusions, and had a tumor resection after treating disseminated intravascular coagulopathy.

Participant Demographics

67-year-old man

Digital Object Identifier (DOI)

10.1186/1477-7819-5-59

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