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Primary Small Bowel GIST Presenting as a Life-Threatening Emergency: A Report of Two Cases.
Case Rep Surg. 2017; 2017:1814254.CR

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. Herein, we present two cases of primary small bowel GIST treated at our department. A 68-year-old female patient presented to our emergency department with a diffuse abdominal pain of acute onset. Imaging studies revealed a mass at proximal jejunum, with a nearby free air and fluid. At surgery, a mass of 9 cm was found at proximal jejunum, 3 cm distal to the treitz ligament, with perforation on the lateral wall of the mass. En bloc resection was performed. Pathology report was positive for gastrointestinal stromal tumor. A 70-year-old male patient presented to our emergency department with 3 days of dark tarry stool and few hours of hematochezia. Computed tomography angiography revealed a mass at the pelvis, with calcifications, attached to the distal ileum, with intraluminal blush of intravenous iodine. At surgery, a mass of 8 cm at the distal ileum was found. Resection of the mass along with a 20 cm of ileum was completed. Histopathology report was positive for malignant gastrointestinal stromal tumor.

Authors+Show Affiliations

Department of General Surgery, Rambam Health Campus, Haifa, Israel.Department of General Surgery, Rambam Health Campus, Haifa, Israel. Colorectal Surgery Unit, Rambam Health Campus, Haifa, Israel.Department of General Surgery, Rambam Health Campus, Haifa, Israel.Department of General Surgery, Rambam Health Campus, Haifa, Israel. Trauma and Acute Care Surgery Unit, Rambam Health Campus, Haifa, Israel.Department of General Surgery, Rambam Health Campus, Haifa, Israel. Surgical Oncology Unit, Rambam Health Campus, Haifa, Israel.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

28458940

Citation

Khuri, Safi, et al. "Primary Small Bowel GIST Presenting as a Life-Threatening Emergency: a Report of Two Cases." Case Reports in Surgery, vol. 2017, 2017, p. 1814254.
Khuri S, Gilshtein H, Darawshy AA, et al. Primary Small Bowel GIST Presenting as a Life-Threatening Emergency: A Report of Two Cases. Case reports in surgery. 2017;2017:1814254.
Khuri, S., Gilshtein, H., Darawshy, A. A., Bahouth, H., & Kluger, Y. (2017). Primary Small Bowel GIST Presenting as a Life-Threatening Emergency: A Report of Two Cases. Case Reports in Surgery, 2017, 1814254. https://doi.org/10.1155/2017/1814254
Khuri S, et al. Primary Small Bowel GIST Presenting as a Life-Threatening Emergency: a Report of Two Cases. Case reports in surgery. 2017;2017:1814254. PubMed PMID: 28458940.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary Small Bowel GIST Presenting as a Life-Threatening Emergency: A Report of Two Cases. AU - Khuri,Safi, AU - Gilshtein,Hayim, AU - Darawshy,Abd-Alkarim, AU - Bahouth,Hany, AU - Kluger,Yoram, Y1 - 2017/03/28/ PY - 2017/01/14/received PY - 2017/03/08/accepted PY - 2017/5/2/entrez PY - 2017/5/2/pubmed PY - 2017/5/2/medline SP - 1814254 EP - 1814254 JF - Case reports in surgery VL - 2017 N2 - 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. Herein, we present two cases of primary small bowel GIST treated at our department. A 68-year-old female patient presented to our emergency department with a diffuse abdominal pain of acute onset. Imaging studies revealed a mass at proximal jejunum, with a nearby free air and fluid. At surgery, a mass of 9 cm was found at proximal jejunum, 3 cm distal to the treitz ligament, with perforation on the lateral wall of the mass. En bloc resection was performed. Pathology report was positive for gastrointestinal stromal tumor. A 70-year-old male patient presented to our emergency department with 3 days of dark tarry stool and few hours of hematochezia. Computed tomography angiography revealed a mass at the pelvis, with calcifications, attached to the distal ileum, with intraluminal blush of intravenous iodine. At surgery, a mass of 8 cm at the distal ileum was found. Resection of the mass along with a 20 cm of ileum was completed. Histopathology report was positive for malignant gastrointestinal stromal tumor. SN - 2090-6900 UR - https://www.unboundmedicine.com/medline/citation/28458940/Primary_Small_Bowel_GIST_Presenting_as_a_Life_Threatening_Emergency:_A_Report_of_Two_Cases_ L2 - https://doi.org/10.1155/2017/1814254 DB - PRIME DP - Unbound Medicine ER -
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