Spontaneous Gastric Intramural Hematoma Operated Due to Gastrointestinal Stromal Tumor Pre-diagnosis

Abstract

Intramural hematoma is observed in the gastrointestinal tract, often in the esophagus, duodenum, colon and less frequently in the stomach. It usually occurs after trauma and endoscopic interventions in people using anticoagulants. It is extremely rare for it to be spontaneous. Correct diagnosis is difficult and misdiagnosis can lead to unnecessary surgical treatment for the patient. Numerous examinations performed may not be helpful. A gastrointestinal stromal tumor was considered in a 42-year-old male patient after investigations for abdominal pain. Diagnosis could not be made through the biopsy performed under endoscopic ultrasonography. Laparoscopic subtotal gastrectomy and Roux&Y gastrojejunostomy were performed. After the pathological examination of the mass, it was found that it was an intramural gastric hematoma. Its etiology is unclear and in this respect it was considered to be spontaneous.