2023, Number 1
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Rev Nefrol Dial Traspl 2023; 43 (1)
Gastrointestinal stromal tumor (GIST) as a cause of hemoperitoneum in a patient on peritoneal dialysis
Porta I, Palacios A, Hernández E, Rivero L, Chang M
Language: Spanish
References: 14
Page: 52-56
PDF size: 317.77 Kb.
ABSTRACT
Introduction: Hemoperitoneum
(PH) in peritoneal dialysis (PD) is rare,
the most described cause is related
to menstruation or catheter trauma.
Case: A 56-years-old female patient
with chronic kidney disease, two years
on PD, presented abdominal pain
during peritoneal fluid infusion and
evidence of bloody drainage, empiric
antibiotic therapy was started due to
suspected peritonitis; she had surgery
for exploratory laparotomy due to
unfavorable clinical course. There
was evidence of a bleeding tumor
dependent on the back of the stomach,
which was resected.
Biopsy: benign
gastrointestinal stromal tumor (GIST)
of the stomach, spindle cell subtype.
The patient had an unfavorable
post-surgical evolution, persistence
of bleeding, and deterioration of
the clinical state, dying three weeks
later.
Conclusion: GIST should be
considered in the differential diagnosis
of hemoperitoneum in patients on
peritoneal dialysis.
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