Eulemia Nolasco and Mary Anne B Andres*

MD Internal Medicine, MD Since, Russia

*Corresponding Author: Mary Anne B Andres, MD Internal Medicine, MD Since, Russia.

Received: May 04, 2022; Published: July 29, 2022

Abstract

Gastrointestinal stromal tumors (GISTs) account for about 1-3% of all gastrointestinal malignancies and are the most com- mon mesenchymal tumor of the gastrointestinal tract [1]. This is a case of a 42-year-old male with a known thoracoabdominal aortic aneurysm who came in with massive amounts of hematochezia. A suspicious aortoenteric fistula was noted in the initial CT angiogram which prompted the patient to undergo TEVAR. After the TEVAR, the patient underwent an esophagogastro- duodenoscopy that revealed a submucosal mass. Promptly, a laparoscopic surgery was done revealing 2 arteries feeding the mass, a wedge resection was made thereafter. Histopathology of the mass revealed a gastrointestinal stromal tumor. The pa- tient’s postoperative recovery was uneventful for major complications. Pathology reports showed a complete surgical resec- tion (R0); the tumor was diagnosed as gastric GISTs in the very low-risk/low-risk category, and adjuvant chemotherapy was not necessary according to the NCCN guidelines. At onemonth post-operative follow-up, no symptoms were referred by the patient.

Keywords: GIST; Gastrointestinal Stromal Tumor; Gastrointestinal Bleeding; TEVAR; Aortic Aneurysm

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Citation

Citation: Eulemia Nolasco and Mary Anne B Andres. “Massive Upper Gastrointestinal Bleeding in a Patient with Thoracoabdominal Aortic Aneurysm Who Underwent Tevar and Wedge Gastrectomy for a Gastrointestinal Stromal Tumor: A Case Report". Acta Scientific Gastrointestinal Disorders 5.8 (2022): 71-75.

Copyright

Copyright: © 2022 Eulemia Nolasco and Mary Anne B Andres. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.