A gastrointestinal stromal tumor with acute bleeding

RATIONALE Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors involving the gastrointestinal tract. A small percentage of GISTs may cause acute gastrointestinal bleeding, which requires urgent surgical intervention. PATIENT CONCERNS In this case report, we present a 62-year-old male patient with who was hospitalized due to acute bleeding. DIAGNOSES The patient was diagnosed as GIST with low risk. INTERVENTIONS The patient was treated endoscopically with polidocanol sclerotherapy. OUTCOMES The mass was removed completely, and the patient was discharged at day 9 after operation. LESSONS This case indicates that GIST can present as massive upper gastrointestinal bleeding and urgent endoscopic sclerotherapy can be life-saving. The endoscopical intervention may be a good alternative for emergency.