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

    Research output: Contribution to journalArticlepeer-review

    22 Citations (Scopus)

    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.

    Original languageEnglish
    Pages (from-to)136-139
    Number of pages4
    JournalWorld journal of gastroenterology
    Volume14
    Issue number1
    DOIs
    Publication statusPublished - 2008 Jan 7

    Keywords

    • Granuloma
    • Hemoperitoneum
    • Myofibroma
    • Plasma cell
    • Stomach disease
    • Stomach neoplasms
    • Stomach surgery

    ASJC Scopus subject areas

    • Gastroenterology

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