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Development of enterohepatic fistula after embolization in ileal gastrointestinal stromal tumor: A case report

查看全文 作　　者：Yun Ho [1]Lee;Ja Seol [1]Koo;Chang Ho [1]Jung;Sang Yoon [1]Chung;Jae Joong [1]Lee;Seung Young [1]Kim;Jong Jin [1]Hyun;Sung Woo [1]Jung;Rok Seon [1]Choung;Sang Woo [1]Lee;Jai Hyun [1]Choi 高影响力作者 机构地区：[1]Division of Gastroenterology,Department of Internal Medicine,Korea University Ansan Hospital,516 Gojan-dong,Danwon-gu,Ansan-si,Gyeonggi-do 425-707,South Korea高影响力机构 出　　处：《World Journal of Gastroenterology》索引2013年第19卷第43期,共4页高影响力期刊 摘　　要：Gastrointestinal stromal tumor(GIST)is a rare mesenchymal tumor of the gastrointestinal tract that has been associated with the formation of fistulas to adjacent organs in few case reports.However,GIST with enterohepatic fistula has not been reported.Here we report the case of an enterohepatic fistula that occurred after embolization of a liver mass originating in the distal ileum.An 87-year-old woman was hospitalized for melena.On initial conventional endoscopy,a bleeding focus in the gastrointestinal tract was not found.Because of massive hematochezia,enteroscopy was performed through the anus.A protruding,ulcerative mass was found in the distal ileum that was suspected to be the source of the bleeding;a biopsy sample was taken.Electrocoagulation was not successful in controlling the bleeding;therefore,embolization was performed.After embolization,the patient developed a high fever and severe abdominal tenderness with rebound tenderness.Follow-up abdominopelvic computed tomography revealed an enterohepatic fistula between the liver and distal ileum.The fistula was treated surgically by segmental resection of the distal ileum and unlooping of the liver mass. 关 键 词：GASTROINTESTINAL STROMAL TUMOR Enterohepatic FISTULA Therapeutic EMBOLIZATION Bleeding ILEAL GASTROINTESTINAL STROMAL TUMOR
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