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

  • Published online on: August 16, 2018     https://doi.org/10.3892/mco.2018.1699
  • Pages: 399-402
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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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October 2018
Volume 9 Issue 4

Print ISSN: 2049-9450
Online ISSN:2049-9469

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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