Evidence map›Paper›PMID 38907357›Full record

ReviewJournal of medical case reports2024

Gastrointestinal stromal tumor of the duodenum presenting with shock and massive upper and lower gastrointestinal bleeding: a case report and review of the literature.

Yasser Abou Elsoud Mohamed, Muhammad Mostafa Abdelghaffar, Samar S Khalaf, Ahmed F Amin, Mostafa Adel Mostafa, Ola Harb, Asmaa Hussein Mohamed, Ahmed Raafat Abdelfattah

Abstract readCase ReportsReview
In one paragraph

Review in Journal of medical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yasser Abou Elsoud MohamedConsultant of Gastroenterology and Endoscopy at Mahala Hepatology Teaching Center, Gharbiya, Egypt.
Muhammad Mostafa AbdelghaffarConsultant of Gastroenterology and Endoscopy at Ahmed Maher Teaching Hospital, Cairo, Egypt.
Samar S KhalafDepartment of Biochemistry, Faculty of Pharmacy, Heliopolis University, Cairo, Egypt.
Ahmed F AminDepartment of Anesthesia and ICU, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mostafa Adel MostafaDepartment of Anesthesia and ICU, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ola HarbDepartment of Pathology, Faculty of Medicine, Zagazig Universit, Zagazig, Egypt. olaharb2015@gmail.com.ORCID http://orcid.org/0000-0002-4396-3101
Asmaa Hussein MohamedDepartment of Pathology, Faculty of Medicine, Zagazig Universit, Zagazig, Egypt.
Ahmed Raafat AbdelfattahDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to rarity of duodenal GISTs, clinicians have few information about its clinical features, diagnosis, management and prognosis. CASE REPORT: We report a case of promptly diagnosed duodenal GIST in a 61-year-old Egyptian man presented shocked with severe attack of hematemesis and melena. Upper gastroduodenal endoscopy was done and revealed a large ulcerating bleeding mass at first part of duodenum 4 hemo-clips were applied with good hemostasis. An exploratory laparotomy and distal gastrectomy, duodenectomy and gastrojejunostomy were performed. The morphology of the mass combined with immunohistochemistry was consistent with duodenal gastrointestinal stromal tumours (GISTs) of high risk type. The patient is on amatinib one tablet daily and he was well with no evidence of tumor recurrence.

conclusiondespite being rare, emergency presentation with sudden severe, life-threatening hemorrhagic shock duodenal GISTs might be a cause of potentially lethal massive combined upper and lower gastrointestinal bleeding which is the key feature of this rare and challenging tumor.

Indexed as

Duodenal NeoplasmsGastrointestinal HemorrhageGastrointestinal Stromal TumorsShock, HemorrhagicGastrectomyHematemesisHumansMaleMelenaMiddle AgedBleedingDuodenal GISTEndoscopy

Identifiers

PMID38907357
PMCPMC11193304

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.