Abstract
An 83-year-old woman was diagnosed as having a submucosal gastric tumor in November 2006, and had been followed up regularly. She presented to the emergency department of our hospital with acute abdominal pain in September 2007. Laboratory studies showed anemia, and a contrast-enhanced CT scan was consistent with intratumoral hemorrhage and tumor rupture. The patient underwent partial resection of the stomach, and histological examination of the gastric tumor revealed a KIT-positive gastrointestinal stromal tumor (GIST). A case report of a ruptured gastric GIST during endoscopic follow-up is presented, accompanied by a review of the literature.