Small bowel gastrointestinal stromal tumor presenting as a life-threatening emergency

Khushbu Gandhi; Mukteshwar Deshmukh; Pankaj Nandagawali; Gopal Gadade; Ghanshyam Hatwar; Vaishak M. Rai; Sachin Dhawale

doi:10.18203/2349-2902.isj20230505

Authors

Khushbu Gandhi Department of General Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
Mukteshwar Deshmukh Department of General Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
Pankaj Nandagawali Department of General Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
Gopal Gadade Department of General Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
Ghanshyam Hatwar Department of General Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
Vaishak M. Rai Department of General Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
Sachin Dhawale Department of General Surgery, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20230505

Keywords:

Gist, Peritonitis, Volvulus, Obstruction

Abstract

Gastrointestinal stromal tumor (GIST) is a rare stromal neoplasm, which represents the most common mesenchymal tumor of the gastrointestinal tract. It is characterized by indolent clinical symptoms, although it can present as a life-threatening emergency. Here in, we present a case of primary small bowel GIST treated at our department. A 58-year-old male patient presented to our emergency department with a diffuse abdominal pain of acute onset. Patient presented with symptoms and signs of acute intestinal obstruction. Imaging studies revealed a mass at mid ileum, with multiple air fluid levels. Intra-operatively, a mass of 12×9 cm was found at mid ileum on antimesenteric border with 3600 volvulus of adjacent ileum. En bloc resection was performed. Histopathology report was suggestive of gastrointestinal stromal tumor.

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