Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Feb 27, 2024; 16(2): 601-608
Published online Feb 27, 2024. doi: 10.4240/wjgs.v16.i2.601
Postoperative encapsulated hemoperitoneum in a patient with gastric stromal tumor treated by exposed endoscopic full-thickness resection: A case report
Hui-Fei Lu, Jing-Jing Li, De-Bin Zhu, Li-Qi Mao, Li-Fen Xu, Jing Yu, Lin-Hua Yao
Hui-Fei Lu, Jing-Jing Li, De-Bin Zhu, Li-Qi Mao, Li-Fen Xu, Jing Yu, Lin-Hua Yao, Department of Gastroenterology, the First People’s Hospital of Huzhou, Huzhou 313000, Zhejiang Province, China
Author contributions: Lu HF wrote the manuscript; Li JJ performed the endoscopy and endoscopic ultrasound, and made the clinical diagnosis and treatment plan; Zhu DB and Xu LF supervised the diagnosis and treatment of this patient; Mao LQ and Yu J collected the clinical data and performed the follow-up; Yao LH revised the manuscript; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lin-Hua Yao, PhD, Associate Chief Physician, Department of Gastroenterology, the First People’s Hospital of Huzhou, No. 158 Guangchang Hou Road, Huzhou 313000, Zhejiang Province, China. yaolinhua110@163.com
Received: October 3, 2023
Peer-review started: October 3, 2023
First decision: December 6, 2023
Revised: December 28, 2023
Accepted: January 16, 2024
Article in press: January 16, 2024
Published online: February 27, 2024
Processing time: 144 Days and 22 Hours
Core Tip

Core Tip: Postoperative bleeding is a common complication after exposed endoscopic full-thickness resection (EFTR), and is most commonly seen in the gastrointestinal tract. In the present case, following exposed EFTR for a gastric stromal tumor, bleeding was noted in both the gastric cavity and the serosal surface, which resulted in an encapsulated hemoperitoneum. The patient subsequently recovered after comprehensive treatment with gastrointestinal decompression, endoscopic hemostasis, B-ultrasound-guided abdominal puncture drainage, and anti-infection therapy.