Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 5 Issue 8

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

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


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


  1. Zhao X and Yue C. “Gastrointestinal stromal tumor”. Journal of Gastrointestinal Oncology3 (2012): 189-208.
  2. Johnston F., et al. BONE AND SOFT TISSUE SARCOMAS “Presentation and Management of Gastrointestinal Stromal Tumors of the Duodenum: A Multi-Institutional Analysis”. Annals of Surgical Oncology11 (2021): 3351-3360.
  3. Saers SJF and Marc Scheltinga. “Primary aortoenteric fistula”. The British Journal of Surgery 92 (2005): 143-152.
  4. Miettinen M and Lasota J. “Gastrointestinal stromal tumors”. Gastroenterology clinics of North America 42 (2013): 399-415.
  5. Luis R Leon. “Aortoenteric fistula: Recognition and management” (2018).
  6. Vu QD., et al. “Aortoenteric fistulas: CT features and potential mimics”. Radiographics 1 (2009): 197-209.
  7. Nation DA and Wang GJ. “TEVAR: Endovascular Repair of the Thoracic Aorta”. Seminars in Interventional Radiology 3 (2015): 265-271.
  8. Chatten K., et al. “Glasgow Blatchford Score and risk stratifications in acute upper gastrointestinal bleed: can we extend this to 2 for urgent outpatient management?” Clinical Medicine (London, England)2 (2018): 118-122.
  9. Monteiro S., et al. “Upper gastrointestinal bleeding risk scores: Who, when and why?” World Journal of Gastrointestinal Pathophysiology1 (2018): 86-96.
  10. J Larry Jameson., et al. “Harrison’s Principles of Internal Medicine 20th
  11. Chetta N., et al. “Surgical treatment of gastric GIST with acute bleeding using laparoscopic sleeve gastrectomy: A report of two cases”. Clinical Case Reports4 (2019): 776-781.


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: © 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.


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