Abstract

SANTOYO-VILLALBA, Julio; TRIGUERO-CABRERA, Jennifer  and  GARCIA-JIMENEZ, Alejandro. Acute abdomen secondary to massive bleeding due to rupture of liver metastases of a gastrointestinal stroma tumor. Cir. cir. [online]. 2021, vol.89, suppl.1, pp.93-96.  Epub Feb 08, 2022. ISSN 2444-054X.  https://doi.org/10.24875/ciru.20001313.

Hemoperitoneum secondary to non-traumatic liver rupture is a rare cause of an acute abdomen. We present the case of a patient with a hepatic rupture secondary to metastasis of a gastrointestinal stromal tumor (GIST) who required an emergent laparotomy due to hemodynamic instability. Intraoperatively, a lesion of more than 20cm dependent on the posterior gastric wall and a hemoperitoneum secondary to rupture of liver metastases and decapsulation of the Glisson capsule was evidenced. A frequent complication of GIST tumors is its rupture causing gastrointestinal bleeding or hemoperitoneum, as occurred in our case.

Keywords : Hemoperitoneum; Gastrointestinal stromal tumors; Metastasis.

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