Ruptured Jejunal Gastrointestinal Stromal Tumor- An Unusual Presentation of a Rare Tumor
Published: 2021-01-15
Page: 39-42
Issue: 2021 - Volume 4 [Issue 1]
Nikhil Gupta
Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, Pin-110001, India.
Raghav Yelamanchi *
Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, Pin-110001, India.
Ekta Yadav
Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, Pin-110001, India.
C. K. Durga
Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, Pin-110001, India.
*Author to whom correspondence should be addressed.
Abstract
Aim: We report an extremely rare case of jejunal GIST presenting with acute abdomen and shock due to tumor rupture with hemorrhage.
Case Presentation: A 52 year male presented to the surgical emergency with complaints of acute onset abdominal pain and abdominal distention for 12 hours. On abdominal examination, there was a tender ill defined lump in the umbilical region associated with free fluid. Hemoglobin was 5.4 gm/dl. Ultrasound guided diagnostic peritoneal aspiration revealed blood. Patient underwent exploratory laparotomy with resection and anastomosis of the jejunal segment containing GIST.
Discussion: GISTs (Gastrointestinal stromal tumors) are one of the rare tumors of the gastrointestinal tract. Jejunum is less common site for the origin of GIST accounting for <10% of all gastrointestinal tumors. Ruptured small intestinal GIST is an extremely rare cause of acute abdomen.
Conclusion: The above case report is a very atypical scenario of small bowel GIST presenting with an acute abdomen. Early operative intervention is required to control bleeding and to prevent sepsis in cases of ruptured GIST.
Keywords: Gastrointestinal stromal tumor, Jejunal GIST, small bowel tumors, Imatinib mesylate.