Author(s)

Vinícius Moreira Paladino¹, Thiago Sande Miguel¹, Vinicius Sande Miguel², Marcia Machado Galvão Pereira¹, Fernando Antonio Galvão Pereira¹, Carolina Galvão Teixeira³, Caroline Guida Babinski¹, Nayrton Kalys Cruz dos Anjos¹, Caio Marcus de Andrade Lopes¹, Daniel Almeida da Costa^1*

¹The Medical School at the Center of Higher Education of Valença, Valença, Brazil.
²Unigranrio Medical School, Rio de Janeiro, Brazil.
³Faculty of Medical Sciences and Health of Juiz de Fora, Juiz de Fora, Brazil.

Introduction: Gastrointestinal stromal tumor (GIST) occurrence is uncommon and usually manifested by nonspecific signs and symptoms, which hinders its reasoning as a diagnostic hypothesis. The objective is to report a case of female GIST with curative treatment through video-laparoscopy with partial gastrectomy. Case report: A 61-year-old female patient attended the Luiz Gioseffi Jannuzzi School Hospital (HELGJ) emergency room, with a sudden onset of upper gastrointestinal bleeding with hemodynamic instability. After stabilization, she was admitted for diagnostic investigation, showing sub-epithelial lesion of antrum in upper digestive endoscopy (UDE) and solid-cystic mass in the gastric antrum to computed tomography (CT). The conduct was the video laparoscopy surgical approach with partial gastrectomy. The histopathological and immunohistochemical aspects of the surgical specimen showed a gastrointestinal stromal tumor (GIST) in a gastric antrum of low grade of malignancy, positive e-Kit and mycotic index (50 cga) < 5. Discussion: Compared to the scarce reports in literature, the case described presented typical epidemiology, but the clinical picture was not the most incident. Conclusions: Given the rarity of this pathology cases, it is essential to report these in order to elucidate the specificities and also to discuss diagnostic and therapeutic methods.

Gastrointestinal Stromal Tumor, Gastrointestinal Hemorrhage, Immunohistochemistry

Paladino, V. , Miguel, T. , Miguel, V. , Pereira, M. , Pereira, F. , Teixeira, C. , Babinski, C. , dos Anjos, N. , Lopes, C. and da Costa, D. (2019) Gastric Gist as Cause of High Digestive Hemorrhage. Journal of Biosciences and Medicines, 7, 42-47. doi: 10.4236/jbm.2019.71005.