{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T19:57:41Z","timestamp":1694116661652},"reference-count":8,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,3,28]],"date-time":"2016-03-28T00:00:00Z","timestamp":1459123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec><jats:title>Case<\/jats:title><jats:p>A 72\u2010year\u2010old man with hypertension was admitted with acute\u2010onset chest and back pain followed by epigastralgia. He was transported by helicopter due to suspected acute aortic dissection. Systolic blood pressures were equal in both arms. Physical examination showed epigastric tenderness without rebound. Blood tests showed leukocytosis. Electrocardiogram and echocardiogram were normal. Abdominal radiography showed acute gastric dilatation with an air\u2010outlined large mass\u2010like shadow. Abdominal computed tomography revealed a 6\u2010cm exophytic mass and large intramural hematoma in the lesser curvature of the gastric body.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcome<\/jats:title><jats:p>The patient underwent urgent laparotomy with total gastrectomy. The resected tumor showed positivity for <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>117 and <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>34 but negativity for S100, indicating a gastrointestinal stromal tumor. Fourteen days after the surgery, the patient was uneventfully discharged.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Intramural bleeding of submucosal tumors including gastrointestinal stromal tumor should be considered in cases of acute gastric dilatation. Abdominal radiography may be a clue regarding the presence of this condition.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.190","type":"journal-article","created":{"date-parts":[[2016,3,28]],"date-time":"2016-03-28T09:22:43Z","timestamp":1459156963000},"page":"380-383","source":"Crossref","is-referenced-by-count":1,"title":["Rupture of gastrointestinal stromal tumor presenting with sudden onset chest and back pain and accompanied by gastric dilatation"],"prefix":"10.1002","volume":"3","author":[{"given":"Kenichi","family":"Nitta","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Imamura","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiro","family":"Yashio","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanako","family":"Takeshige","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megumi","family":"Tsukada","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuniharu","family":"Ippongi","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsunori","family":"Mochizuki","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Kashima","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Sugiyama","sequence":"additional","affiliation":[{"name":"First Department of Surgery Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichi","family":"Miyagawa","sequence":"additional","affiliation":[{"name":"First Department of Surgery Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,3,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2014.10.013"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2005.11.002"},{"key":"e_1_2_6_4_1","first-page":"1050","volume-title":"Cancer: Principles and Practice of Oncology","author":"Demetri GD","year":"2005"},{"key":"e_1_2_6_5_1","first-page":"937","article-title":"Spontaneously ruptured gastrointestinal stromal tumor (GIST) of the jejunum mimicking acute appendicitis","volume":"28","author":"Ajduk M","year":"2004","journal-title":"Coll. 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