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Article

Perforated gastrointestinal stromal tumor in the small intestine: A rare case of Torricelli-Bernoulli sign

  • Authors:
    • Takayuki Tajima
    • Takayuki Nishi
    • Mifuji Tomioku
    • Takashi Ogimi
    • Lin Fung Chan
    • Takashi Okazaki
    • Kazunori Myoujin
    • Hideo Shimada
  • View Affiliations / Copyright

    Affiliations: Department of Surgery, Tokai University Oiso Hospital, Kanagawa 259-0189, Japan, Department of Radiology, Tokai University Hospital, Kanagawa 259-1193, Japan, Department of Radiology, Tokai University Oiso Hospital, Kanagawa 259-0189, Japan
  • Pages: 399-402
    |
    Published online on: August 16, 2018
       https://doi.org/10.3892/mco.2018.1699
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Abstract

The Torricelli-Bernoulli sign is a computed tomography (CT) finding that occurs when ulceration/necrosis of a submucosal gastrointestinal tumor releases a stream of air bubbles into the intestinal lumen. A 75-year-old man developed acute abdominal pain at night and presented to a local doctor. Acute abdomen was diagnosed and he was referred to the Emergency Department at Tokai University Oiso Hospital. On CT scans, disseminated intestinal tumor-like lesions were seen in the right lower abdomen. The Torricelli-Bernoulli sign and free intraabdominal gas were observed, so perforation of an intestinal tumor was diagnosed and emergency surgery was performed. At operation, there was scanty opaque ascites in the right lower abdomen and an ileal tumor associated with nodules that suggested peritoneal dissemination. Partial resection of the ileum was performed and peritoneal lavage was conducted. The patient was discharged on postoperative day 11. Histopathological examination revealed a high risk gastrointestinal stromal tumor. The abdominal nodules were metastases, indicating that the tumor was Stage IV. The patient is currently on treatment with an oral tyrosine kinase inhibitor (imatinib).
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Copy and paste a formatted citation
Spandidos Publications style
Tajima T, Nishi T, Tomioku M, Ogimi T, Chan LF, Okazaki T, Myoujin K and Shimada H: Perforated gastrointestinal stromal tumor in the small intestine: A rare case of Torricelli-Bernoulli sign. Mol Clin Oncol 9: 399-402, 2018.
APA
Tajima, T., Nishi, T., Tomioku, M., Ogimi, T., Chan, L.F., Okazaki, T. ... Shimada, H. (2018). Perforated gastrointestinal stromal tumor in the small intestine: A rare case of Torricelli-Bernoulli sign. Molecular and Clinical Oncology, 9, 399-402. https://doi.org/10.3892/mco.2018.1699
MLA
Tajima, T., Nishi, T., Tomioku, M., Ogimi, T., Chan, L. F., Okazaki, T., Myoujin, K., Shimada, H."Perforated gastrointestinal stromal tumor in the small intestine: A rare case of Torricelli-Bernoulli sign". Molecular and Clinical Oncology 9.4 (2018): 399-402.
Chicago
Tajima, T., Nishi, T., Tomioku, M., Ogimi, T., Chan, L. F., Okazaki, T., Myoujin, K., Shimada, H."Perforated gastrointestinal stromal tumor in the small intestine: A rare case of Torricelli-Bernoulli sign". Molecular and Clinical Oncology 9, no. 4 (2018): 399-402. https://doi.org/10.3892/mco.2018.1699
Copy and paste a formatted citation
x
Spandidos Publications style
Tajima T, Nishi T, Tomioku M, Ogimi T, Chan LF, Okazaki T, Myoujin K and Shimada H: Perforated gastrointestinal stromal tumor in the small intestine: A rare case of Torricelli-Bernoulli sign. Mol Clin Oncol 9: 399-402, 2018.
APA
Tajima, T., Nishi, T., Tomioku, M., Ogimi, T., Chan, L.F., Okazaki, T. ... Shimada, H. (2018). Perforated gastrointestinal stromal tumor in the small intestine: A rare case of Torricelli-Bernoulli sign. Molecular and Clinical Oncology, 9, 399-402. https://doi.org/10.3892/mco.2018.1699
MLA
Tajima, T., Nishi, T., Tomioku, M., Ogimi, T., Chan, L. F., Okazaki, T., Myoujin, K., Shimada, H."Perforated gastrointestinal stromal tumor in the small intestine: A rare case of Torricelli-Bernoulli sign". Molecular and Clinical Oncology 9.4 (2018): 399-402.
Chicago
Tajima, T., Nishi, T., Tomioku, M., Ogimi, T., Chan, L. F., Okazaki, T., Myoujin, K., Shimada, H."Perforated gastrointestinal stromal tumor in the small intestine: A rare case of Torricelli-Bernoulli sign". Molecular and Clinical Oncology 9, no. 4 (2018): 399-402. https://doi.org/10.3892/mco.2018.1699
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