Spontaneous Gastric Intramural Hematoma: Case Report and Literature Review

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05204420

Enrollment

Registered

2022-01-24

Start date

2021-12-01

Completion date

2022-01-01

Last updated

2022-01-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastric Hemorrhage

Brief summary

Patient previously healthy found to have spontaneous gastric intramural hematoma

Detailed description

28 year old male patient previously healthy presented with diarrhea and diffuse abdominal pain of 1 week duration that exacerbated 1 day prior to presentation. CT showed anterior abdominal mass possibly from the outer gastric wall. Gastroscopy suspected a submucosal tumor in the body and antrum. Patient's pain exacerbated and developed drop in hemoglobin. Urgent CT scan showed a bleeding gastric tumor. Urgent laparotomy identified a bleeding gastric lesion at greater curvature. Partial gastrectomy done with abutting mesocolon resection. Surgical specimen pathology showed gastric intramural hematoma that was considered spontaneous.

Interventions

PROCEDUREGastric wide local excision for bleeding mass

Laparoscopic partial gastrectomy for gastric submucosal mass

Study design

Observational model

CASE_ONLY

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Yes

Inclusion criteria

* any patient presenting with gastric bleeding tumors

Exclusion criteria

* patients on anticoagulants and patient with gastric medical history

Design outcomes

Primary

Measure	Time frame	Description
Spontaneous gastric intramural hematoma	1 month	Spontaneous gastric intramural hematoma

Countries

Lebanon

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026