Park SH, Kim JH, Min BW, Song TJ, Son GS, Kim SJ, Lee SW, Chung HH, Lee JH, Um JW. Exophytic inflammatory myofibroblastic tumor of the stomach in an adult woman: A rare cause of hemoperitoneum. World J Gastroenterol 2008; 14(1): 136-139 [PMID: 18176977 DOI: 10.3748/wjg.14.136]
Corresponding Author of This Article
Jun Won Um, MD, Department of Surgery, Korea University Medical Center-Ansan Hospital, Korea University College of Medicine, 516 Gojan-Dong, Danwon-Gu, Ansan City, Kyungki-Do 425-707, Korea. junwonum@korea.ac.kr
Article-Type of This Article
Case Report
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World J Gastroenterol. Jan 7, 2008; 14(1): 136-139 Published online Jan 7, 2008. doi: 10.3748/wjg.14.136
Exophytic inflammatory myofibroblastic tumor of the stomach in an adult woman: A rare cause of hemoperitoneum
Seong-Heum Park, Jong-Han Kim, Byung Wook Min, Tae Jin Song, Gil Soo Son, Seung Joo Kim, Sang Woo Lee, Hwan-Hoon Chung, Ju Han Lee, Jun Won Um
Seong-Heum Park, Jong-Han Kim, Byung Wook Min, Tae Jin Song, Gil Soo Son, Seung Joo Kim, Jun Won Um, Department of Surgery, Korea University College of Medicine, 126-1, 5-Ga Anam-Dong, Sungbuk-Gu, Seoul 136-705, Korea
Sang Woo Lee, Department of Internal Medicine, Korea University College of Medicine, 126-1, 5-Ga Anam-Dong, Sungbuk-Gu, Seoul 136-705, Korea
Hwan-Hoon Chung, Department of Radiology, Korea University College of Medicine, 126-1, 5-Ga Anam-Dong, Sungbuk-Gu, Seoul 136-705, Korea
Ju Han Lee, Department of Pathology, Korea University College of Medicine, 126-1, 5-Ga Anam-Dong, Sungbuk-Gu, Seoul 136-705, Korea
Correspondence to: Jun Won Um, MD, Department of Surgery, Korea University Medical Center-Ansan Hospital, Korea University College of Medicine, 516 Gojan-Dong, Danwon-Gu, Ansan City, Kyungki-Do 425-707, Korea. junwonum@korea.ac.kr
Telephone: +82-31-4125952
Fax: +82-31-4134829
Received: August 24, 2007 Revised: September 20, 2007 Published online: January 7, 2008
Abstract
Inflammatory myofibroblastic tumor (IMT) of the stomach in adults is extremely rare, with unpredictable prognosis. We present a 55-year-old woman with a gastric IMT. She experienced sudden abdominal pain 4 d previously. Physical examination showed mild abdominal tenderness in the hypogastrium, but no palpable abnormal abdominal mass. Abdominal CT showed a mass of approximately 8 cm in the gastrocolic ligament. On laparoscopic exploration, unexpected hemoperitoneum of approximately 1.5 L of blood was found, and an exophytic gastric mass of approximately 10 cm, appeared from the anterior wall of the gastric body along the greater curvature. Laparoscopy further showed that non-clotting blood in the abdominal cavity seemed to be from the gastric tumor. After conversion to open surgery for more precise evaluation of the cause of hemoperitoneum and the large friable tumor, gastric wedge resection, including the tumor, was conducted. The final diagnosis was consistent with IMT that originated from the gastric wall.
