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DOI: 10.1055/s-0043-1763319
Role of Endovascular Management in Gastric Gastrointestinal Stromal Tumor Presented with Massive UPP
Background: Massive upper gastrointestinal bleeds associated with gastric gastrointestinal stromal tumor (GIST) are rare. Surgical treatment is problematic with high risk for older patients and inoperable tumors. We report a case of an endovascular embolization for UGI bleeding in GIST tumor.
Case: A 76-year-old female patient with a known history of inoperable large gastric GIST tumor presented with massive upper GI bleeding with sign of shock. After resuscitation in the ICU, she underwent endovascular mesenteric angiogram, showed hyper-vascular blush from left gastric artery, then super-selective catheterization by microcatheter reaching distally to small feeder artery with active extravasation, then embolization done using liquid embolic agent.
Discussion: In conclusion, this case suggests the role of endovascular embolization for life saving medical emergencies with visceral tumors.
Publication History
Article published online:
09 February 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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