Development of enterohepatic fistula after embolization in ileal gastrointestinal stromal tumor: A case report

Yun Ho Lee, Ja Seol Koo, Chang Ho Jung, Sang Yoon Chung, Jae Joong Lee, Seung Young Kim, Jong Jin Hyun, Sung Woo Jung, Rok Seon Choung, Sang Woo Lee, Jai Hyun Choi

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Abstract

Gastrointestinal stromal tumor (GIST) is a rare mesenchymal tumor of the gastrointestinal tract that has been associated with the formation of fistulas to adjacent organs in few case reports. However, GIST with enterohepatic fistula has not been reported. Here we report the case of an enterohepatic fistula that occurred after embolization of a liver mass originating in the distal ileum. An 87-year-old woman was hospitalized for melena. On initial conventional endoscopy, a bleeding focus in the gastrointestinal tract was not found. Because of massive hematochezia, enteroscopy was performed through the anus. A protruding, ulcerative mass was found in the distal ileum that was suspected to be the source of the bleeding; a biopsy sample was taken. Electrocoagulation was not successful in controlling the bleeding; therefore, embolization was performed. After embolization, the patient developed a high fever and severe abdominal tenderness with rebound tenderness. Follow-up abdominopelvic computed tomography revealed an enterohepatic fistula between the liver and distal ileum. The fistula was treated surgically by segmental resection of the distal ileum and unlooping of the liver mass.

Original languageEnglish
Pages (from-to)7816-7819
Number of pages4
JournalWorld journal of gastroenterology
Volume19
Issue number43
DOIs
Publication statusPublished - 2013

Keywords

  • Bleeding
  • Enterohepatic fistula
  • Gastrointestinal stromal tumor
  • Ileal gastrointestinal stromal tumor
  • Therapeutic embolization

ASJC Scopus subject areas

  • Gastroenterology

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  • Cite this

    Lee, Y. H., Koo, J. S., Jung, C. H., Chung, S. Y., Lee, J. J., Kim, S. Y., Hyun, J. J., Jung, S. W., Choung, R. S., Lee, S. W., & Choi, J. H. (2013). Development of enterohepatic fistula after embolization in ileal gastrointestinal stromal tumor: A case report. World journal of gastroenterology, 19(43), 7816-7819. https://doi.org/10.3748/wjg.v19.i43.7816