{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:32Z","timestamp":1753877072215,"version":"3.41.2"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T00:00:00Z","timestamp":1587686400000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gastrointestinal stromal tumor (GIST) is the most common mesenchymal tumor of the alimentary tract and usually presents with gastrointestinal hemorrhage. The diagnosis of GIST is typically made with upper endoscopy after excluding other causes of bleeding. The surgical management of GIST can be challenging depending upon the location of the tumor. We present a unique case of duodenal GIST in the setting von Willebrand\u2019s disease diagnosed after emergent laparotomy for massive gastrointestinal hemorrhage. Key strategies in curing our patient were treating the underlying bleeding disorder, collaborating with radiology and gastroenterology teams, and early exploratory laparotomy for refractory hemorrhage. This case demonstrates the challenges of diagnosing and managing GIST in patients with underlying coagulopathies.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa081","type":"journal-article","created":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T20:31:34Z","timestamp":1584390694000},"source":"Crossref","is-referenced-by-count":0,"title":["Curative resection of a duodenal gastrointestinal stromal tumor in the setting of von Willebrand\u2019s disease"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1581-6929","authenticated-orcid":false,"given":"Kyle","family":"Litow","sequence":"first","affiliation":[{"name":"Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaby","family":"Jabbour","sequence":"first","affiliation":[{"name":"Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Bahn-Humphrey","sequence":"first","affiliation":[{"name":"Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christy","family":"Stoller","sequence":"first","affiliation":[{"name":"Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Rhee","sequence":"first","affiliation":[{"name":"Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rifat","family":"Latifi","sequence":"first","affiliation":[{"name":"Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kartik","family":"Prabhakaran","sequence":"first","affiliation":[{"name":"Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Veillette","sequence":"first","affiliation":[{"name":"Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY 10595, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,4,24]]},"reference":[{"key":"2020042402354684100_ref1","doi-asserted-by":"crossref","first-page":"2806","DOI":"10.3748\/wjg.v24.i26.2806","article-title":"Current clinical management of gastrointestinal stromal tumor","volume":"24","author":"Akahoshi","year":"2018","journal-title":"World J Gastroenterol"},{"key":"2020042402354684100_ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.21037\/aob.2017.12.05","article-title":"Von Willebrand disease in the United States: perspective from the Zimmerman program","volume":"3","author":"Flood","year":"2018","journal-title":"Annals of Blood"},{"key":"2020042402354684100_ref3","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1158\/1055-9965.EPI-14-1002","article-title":"Epidemiology of gastrointestinal stromal tumors in the era of histology codes: results of a population-based study","volume":"24","author":"Ma","year":"2015","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"2020042402354684100_ref4","first-page":"171","article-title":"Lymph node metastasis in gastrointestinal stromal tumor (GIST): to report a case","volume":"7","author":"Shafizad","year":"2014","journal-title":"Iran J Cancer Prev"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/4\/rjaa081\/33120712\/rjaa081.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/4\/rjaa081\/33120712\/rjaa081.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T06:36:13Z","timestamp":1587710173000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa081\/5824377"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,1]]},"references-count":4,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa081","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2020,4]]},"published":{"date-parts":[[2020,4,1]]},"article-number":"rjaa081"}}