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Ann Geriatr Med Res > Volume 18(4); 2014 > Article
Journal of the Korean Geriatrics Society 2014;18(4):237-240.
DOI: https://doi.org/10.4235/jkgs.2014.18.4.237    Published online December 31, 2014.
Perforation of Gastrointestinal Stromal Tumor in Small Bowel on an Elderly Patient Presenting Acute Abdominal Pain
Kong Jin Oh, Jong Ho Hwang, Ho Young Lee, Sung Ik Pyeon, Jae Gyu Shin, Ho Joon Park, Chul Byung Chae
1Department of Internal Medicine, Busan Metropolitan City Medical Center, Busan, Korea. asluke@naver.com
2Department of General Surgery, Busan Metropolitan City Medical Center, Busan, Korea.
고령의 복통 환자에서 발견된 소장의 위장관 간질 종양 천공 1예
오공진1⦁황종호1⦁이호영2⦁편성익1⦁신재규1⦁박호준1⦁채철병1
부산의료원 내과1, 일반외과2
Abstract
Acute abdominal pain as a common complaint in elderly patients may differ from that in younger patients. In elderly patients, the diagnostic accuracy of acute abdominal pain is lower compared to that in younger patients. On the other hand, the mortality in elderly patients with acute abdominal pain is far higher than that in the younger patients. Therefore, early and correct diagnosis of acute abdominal pain for the elderly patients could significantly influence the outcome. In this report, we describe a case of a 84-year-old man with a ruptured small bowel gastrointestinal stromal tumor who presented at the Emergency Department with acute abdominal pain. Laparotomy was performed because perforation of a tumor in the jejunum was found by computed tomography. Diagnosis was confirmed by histopathology and immunohistochemistry. Therefore, small bowel disease should be considered when exploring the cause of acute abdominal pain in elderly patients.
Key Words: Abdominal pain, Aged, Perforation, Gastrointestinal stromal tumor
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