Loss of consciousness and melaena in a 76-year-old male

Anastasia Anagnostopoulou, Eleni Lazaridou, Demetrios Exarhos

Abstract


A 76-year-old male presented to the emergency department because of loss of consciousness twice during the previous 24 hours. He described having precursor symptoms of dizziness, blurred vision and sweating. Physical examination demonstrated a significant decline of his systolic blood pressure in the upright position (20 mm Hg) and signs of melaena with concomitant weakness. Laboratory findings revealed normocytic anaemia. The patient appeared haemodynamically stable upon arrival, while during his stay in the emergency room he experienced sudden hypotension (60/40 mm Hg) and tachycardia. Computed Tomography Angiography (CTA) and endoscopic examination were performed in an acute setting (Figs. 1-5), followed by surgery.


Keywords


Gastrointestinal stromal tumour; Tomography, x-ray computed; Gastrointestinal Haemorrhage

Full Text:

PDF

References


Rubin BP, Heinrich MC, Corless CL. Gastrointestinal stromal tumour. Lancet 2007; 369: 1731-1741.

Rammohan A, Sathyanesan J, Rajendran K, et al. A gist of gastrointestinal stromal tumors: A review. World J Gastrointest Oncol 2012; 5(6): 102-112.

Zhao X, Yue Ch. Gastrointestinal stromal tumor. Gastrointest Oncol 2012; 3(3): 189-208.

Kang H, Menias C, Gaballah A, et al. Beyond the GIST: Mesenchymal tumors of the stomach. RadioGraphics 2013; 33: 1673–1690.

Goettsch WG, Bos SD, Breekveldt-Postma N, et al. Incidence of gastrointestinal stromal tumors is underestimated: results of a nation-wide study. Eur J Cancer 2005; 41: 2868-2872.

Sorour M, Kassem M, Ghazal A, et al. Gastrointestinal stromal tumors (GIST) related emergencies. Int J Surg 2014; 12: 269-280.

Caliskan C, Makay O, Akyildiz M. Massive gastrointestinal bleeding caused by stromal tumour of the jejunum. Can J Surg 2009; 52(5): E185-187.

Artigas J, Martí M, Soto J, et al. Multidetector CT angiography for acute gastrointestinal bleeding: Technique and findings. RadioGraphics 2013; 33: 1453–1470.

Uçar A, Oymaci E, Carti E, et al. Characteristics of emergency gastrointestinal stromal tumor (GIST). Hepatogastroenterology 2015; 62 (139): 635–640.

Liu Q, Li Y, Dong M, et al. Gastrointestinal bleeding is an independent risk factor for poor prognosis in GIST patients. Biomed Res Int 2017; 2017:7152406. doi: 10.1155/2017/7152406.


Refbacks

  • There are currently no refbacks.