{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:04:29Z","timestamp":1756339469455,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,8,7]]},"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Spontaneous haemoperitoneum is described as a collection of blood in the peritoneal cavity due to non-traumatic aetiology. Common causes in the literature include splenic, hepatic and gynaecological pathology. Patients with spontaneous haemoperitoneum usually present with non-specific dull aching abdominal pain. Spontaneous haemoperitoneum can only be radiologically diagnosed and, if not treated in time, is life threatening. Rupture of a gastrointestinal stromal tumour (GIST) presenting as a spontaneous haemoperitoneum is a rare event. Gastric GIST presents as ambiguous abdominal pain, complications of which include melena, obstruction and rupture. This is a report of a male patient in his early 60s who presented with acute abdominal pain. A contrast-enhanced CT of the abdomen showed haemoperitoneum with an unknown source of origin. Diagnostic laparoscopy showed a bleeding exophytic mass arising from the stomach, which was resected. Thus, early diagnosis with proper imaging and prompt treatment has a favourable outcome.<\/jats:p>","DOI":"10.1136\/bcr-2024-260108","type":"journal-article","created":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T01:45:16Z","timestamp":1725587116000},"page":"e260108","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous haemoperitoneum caused by a bleeding gastric gastrointestinal stromal tumour"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9838-3954","authenticated-orcid":false,"given":"B M","family":"Nandakumar","sequence":"first","affiliation":[{"name":"General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikita","family":"Agarwal","sequence":"additional","affiliation":[{"name":"General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varsha","family":"Vaidhyanathan","sequence":"additional","affiliation":[{"name":"General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srikantaiah","family":"Hiremath","sequence":"additional","affiliation":[{"name":"General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,9,5]]},"reference":[{"key":"2025082707244148000_17.9.e260108.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.02.004"},{"key":"2025082707244148000_17.9.e260108.2","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2022.106769","article-title":"Spontaneous hemoperitoneum as a rare presentation of gastric lesions: two case reports","volume":"91","author":"Almeida","year":"2022","journal-title":"Int J Surg Case Rep"},{"key":"2025082707244148000_17.9.e260108.3","article-title":"Diagnosis of a Gastrointestinal Stromal Tumor With Spontaneous Rupture","volume":"15","author":"Meader","year":"2023","journal-title":"Cureus"},{"key":"2025082707244148000_17.9.e260108.4","doi-asserted-by":"crossref","DOI":"10.4081\/rt.2012.e44","article-title":"Extra-gastrointestinal stromal tumor of the omentum: A rare case report and review of the literature","volume":"4","author":"Fagkrezos","year":"2012","journal-title":"Rare Tumors"},{"key":"2025082707244148000_17.9.e260108.5","unstructured":"DeVita VT , Lawrence TS , Devita RSA . Gastrointestinal stromal tumor. In: DeVita, Hellman, and Rosenberg\u2019s Cancer: Principles and Practice of Oncology. Philadelphia: Wolters Kluwer, 2023: 604\u20135."},{"key":"2025082707244148000_17.9.e260108.6","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1159\/000491649","article-title":"Is the Surgical Margin in Gastrointestinal Stromal Tumors Different?","volume":"34","author":"Rutkowski","year":"2018","journal-title":"Visc Med"},{"key":"2025082707244148000_17.9.e260108.7","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.suc.2013.10.006","article-title":"Spontaneous hemoperitoneum","volume":"94","author":"Kasotakis","year":"2014","journal-title":"Surg Clin North Am"},{"key":"2025082707244148000_17.9.e260108.8","doi-asserted-by":"publisher","DOI":"10.1067\/j.cpradiol.2005.06.001"},{"key":"2025082707244148000_17.9.e260108.9","first-page":"347","article-title":"Intraperitoneal bleeding and haemorrhagic shock caused by ruptured stomach GIST","volume":"18","author":"Romic","year":"2023","journal-title":"Prz Gastroenterol"},{"key":"2025082707244148000_17.9.e260108.10","article-title":"Spontaneous Hemoperitoneum From a Ruptured Gastrointestinal Stromal Tumor","volume":"12","author":"Shively","year":"2020","journal-title":"Cureus"},{"key":"2025082707244148000_17.9.e260108.11","doi-asserted-by":"crossref","first-page":"232","DOI":"10.5847\/wjem.j.issn.1920-8642.2012.03.013","article-title":"Acute abdomen caused by nontraumatic hemoperitoneum is the first manifestation of gastric low grade stromal tumor","volume":"3","author":"Yakan","year":"2012","journal-title":"World J Emerg Med"},{"key":"2025082707244148000_17.9.e260108.12","doi-asserted-by":"crossref","first-page":"e316","DOI":"10.1097\/SLE.0b013e318231998b","article-title":"Hemoperitoneum Caused by a Ruptured GIST Located in the Posterior Gastric Wall Managed by Endoscopic Diagnosis and Laparoscopic Treatment","volume":"21","author":"Costi","year":"2011","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2025082707244148000_17.9.e260108.13","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s12245-009-0141-8","article-title":"Spontaneous intraperitoneal hemorrhage as the initial presentation of a gastrointestinal stromal tumor: a case report","volume":"3","author":"Freeman","year":"2010","journal-title":"Int J Emerg Med"},{"key":"2025082707244148000_17.9.e260108.14","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1055\/s-0029-1224606","article-title":"Extramuraler GIST des Magens mit Manifestation durch Spontanruptur und akuter intraabdomineller Blutung mit H\u00e4matoperitoneum","volume":"135","author":"Sprenger","year":"2010","journal-title":"Zentralbl Chir"},{"key":"2025082707244148000_17.9.e260108.15","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1177\/030089160909500216","article-title":"Spontaneous rupture of giant gastric GIST presenting as hemoperitoneum and mimicking cavernous liver angioma","volume":"95","author":"Fiscon","year":"2009","journal-title":"Tumori"},{"key":"2025082707244148000_17.9.e260108.16","first-page":"E38","article-title":"Spontaneous rupture of a gastrointestinal stromal tumour associated with life-threatening nontraumatic hemoperitoneum","volume":"51","author":"Bucher","year":"2008","journal-title":"Can J Surg"},{"key":"2025082707244148000_17.9.e260108.17","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1016\/j.gie.2005.11.032","article-title":"Hemoperitoneum secondary to a ruptured gastric stromal tumor","volume":"63","author":"Kim","year":"2006","journal-title":"Gastrointest Endosc"},{"key":"2025082707244148000_17.9.e260108.18","doi-asserted-by":"crossref","first-page":"751","DOI":"10.3346\/jkms.2003.18.5.751","article-title":"A spontaneously ruptured gastric stromal tumor with cystic degeneration presenting as hemoperitoneum: A case report","volume":"18","author":"Cheon","year":"2003","journal-title":"J Korean Med Sci"},{"key":"2025082707244148000_17.9.e260108.19","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1007\/s005950170159","article-title":"A spontaneously ruptured gastric stromal tumor presenting as generalized peritonitis: report of a case","volume":"31","author":"Kitabayashi","year":"2001","journal-title":"Surg Today"},{"key":"2025082707244148000_17.9.e260108.20","doi-asserted-by":"publisher","DOI":"10.1159\/000018717"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-260108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:24:49Z","timestamp":1756304689000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-260108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":20,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2024,9,5]]},"published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1136\/bcr-2024-260108"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-260108","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,9]]}}}