DOI: http://dx.doi.org/10.18203/2349-2902.isj20211832

Laparoscopic resection of small bowel gist: a case report

Satkunan Mark, Lai Weng Wai, Navien Supramaniam, Yan Yang Wai

Abstract


Small bowel bleed accounts for approximately 5% of all gastrointestinal bleeding. While arteriovenous malformation is the commonest cause of small bowel bleeding, other causes include inflammatory bowel disease, small bowel tumours, ulcers and polyps make up the rest. Tumours range from benign adenomas, hamartomas and leiomyomas to malignant GISTs, adenocarcinomas or lymphomas. We reported a case of a jejunal GIST causing intermittent bleeding. Upper and lower GI endoscopy did not find any abnormality and the diagnosis was made through computerized tomography. It showed a mid-jejunal tumour that was in close proximity to the distal duodenum. The rest of the hollow and solid organs were normal. The patient was prepared and underwent laparoscopic assessment. The tumour was mobile, arising from proximal jejunum and did not show infiltration or adhesions to nearby viscera. A segmental resection with adequate margin was performed laparoscopically and extracted through the umbilical port wound. The pathology report revealed an intermediate GIST with clear margins. Laparoscopic assessment should ideally be carried prior to any resection of small bowel tumours. Uncomplicated small bowel resections can safely be done laparoscopically with good oncological outcome and faster patient recovery.


Keywords


Small bowel GIST, Laparoscopic small bowel resection, Small bowel tumour

Full Text:

PDF

References


Murphy B, Winter DC, Kavanagh DO. Small bowel gastrointestinal bleeding diagnosis and management- a narrative review. Front. Surg. 2019;6:25.

Riveros CS, Mindiola AL, Fernandez HM, Regino WO. Small bowel bleeding: approach and treatment. Rev Colomb Gastroenterol. 2017;32(3).

Farhan K, Mushtaq DK, Rabindra C, Priyam Y. A case report on gastrointestinal stromal tumor (GISTs). Int J Sci Invent. 2018;7(4):823-9.

Xuewei W, Peng W, Hao S, Jianwei L, Haitao Z, Zhizngi Z. Laparoscopic resection of intestinal stromal tumors with transrectal extract specimen a case report. Medicine. 2019;98(29):16377.

Stewart D, Hughes M, Hope WW. Laparoscopic-assisted small bowel resection for treatment of adult small bowel intussusception: a case report. Cases J. 2008;432(11).

Rutkowski P, Skoczylas J, Wisniewski P. Is the surgical margin in gastrointestinal stromal tumors different? Visc Med. 2018;34:347-52.

Kim JJ, Lim JY, Nguyen SQ. Laparoscopic resection of gastrointestinal stromal tumors: Does laparoscopic surgery provide an adequate oncologic resection? World J Gastrointest Endosc. 2017;9(9):448-55.

Lee S, Kwon J, Lee J. Laparoscopic treatment of gastrointestinal stromal tumors located at the duodenojejunal junction. SAGE Open Medi Case Rep. 2020;8:1-4.

Iulian S, Lucian A, Adrian T, Dana SL, Cornelia N. Laparoscopic resection of gastric GISTs. Where do we stand now? A single-centered experience. J Mind Med Sci. 2019;6(2):21.