Gastrointestinal stromal tumor
Anamnesis:
1964 Ulcus duodeni / 84 Cholecystectomy
Since 14 days before admission tarry stools and epigastric pain without nausea, vomiting or inappetence. No weight gain.
Examination findings:
Anaemic patient with some dyspnoe. Tarry stools at finger stalls, othwise no remarkable internistic status.
Laboratory:
Microcytic anemia: Hb 5 mg/dl / Hkt 17%, other laboratory unremarkable
Endoscopic finding:
EGD: There is a 35mm big smooth spherical submucosal tumor at the posterior transition from the corpus to the antrum. On the tumor is a deep, smooth, definable ulcus with a diameter of 15mm. Currently no bleeding. Initial rinsed off coagel on the ulcus. Some hematin in the stomach
Sonography: The transition from the corpus to the antrum shows a definable 5cm big tumor, which respects the stomach wall.
