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A gastrointestinal stromal tumor of the jejunum presenting with an intratumoral abscess: A case report and a literature review.
Int J Surg Case Rep. 2018; 48:65-68.IJ

Abstract

INTRODUCTION

Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. The small intestine is the second-most frequent location where GISTs occur after the stomach. Attention should be paid to small intestinal GISTs because they infrequently present with acute abdomen, which necessitates emergency surgery. This report describes a patient with a small intestinal GIST developing a giant intratumoral abscess, in whom emergency surgery was performed.

PRESENTATION OF CASE

A 56-year-old woman presented with worsening abdominal pain. Computed tomography scan showed an approximately 9.5 cm × 9 cm tumor bearing a thick and hypervascularized wall with an internal air-fluid level. Emergency laparotomy revealed the tumor originated from the jejunum, and partial resection of the jejunum was performed. A large amount of pus was contained inside the tumor. Immunohistochemically, the tumor was diagnosed as a high risk GIST of the Cjejunum, and imatinib mesylate was initiated.

DISCUSSION AND CONCLUSION

When an intratumoral abscess in the abdomen is confirmed, GISTs should be listed as differential diagnosis. Complete surgical resetcion with careful handling and adjuvant chemotherapy with imatinib mesylate are considered to be important for this state.

Authors+Show Affiliations

Department of Surgery, Iwate Prefectural Iwai Hospital, 17 Odaira, Kozenji, Ichinoseki, Iwate, 029-0192, Japan. Electronic address: soitou-ncd@umin.ac.jp.Department of Surgery, Iwate Prefectural Iwai Hospital, 17 Odaira, Kozenji, Ichinoseki, Iwate, 029-0192, Japan.Department of Surgery, Iwate Prefectural Iwai Hospital, 17 Odaira, Kozenji, Ichinoseki, Iwate, 029-0192, Japan.Department of Surgery, Iwate Prefectural Iwai Hospital, 17 Odaira, Kozenji, Ichinoseki, Iwate, 029-0192, Japan.Department of Surgery, Iwate Prefectural Iwai Hospital, 17 Odaira, Kozenji, Ichinoseki, Iwate, 029-0192, Japan.Department of Surgery, Iwate Prefectural Iwai Hospital, 17 Odaira, Kozenji, Ichinoseki, Iwate, 029-0192, Japan.Department of Surgery, Iwate Prefectural Iwai Hospital, 17 Odaira, Kozenji, Ichinoseki, Iwate, 029-0192, Japan.Department of Surgery, Iwate Prefectural Iwai Hospital, 17 Odaira, Kozenji, Ichinoseki, Iwate, 029-0192, Japan.Department of Surgery, Iwate Prefectural Iwai Hospital, 17 Odaira, Kozenji, Ichinoseki, Iwate, 029-0192, Japan.Department of Surgery, Iwate Prefectural Iwai Hospital, 17 Odaira, Kozenji, Ichinoseki, Iwate, 029-0192, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29859449

Citation

Ito, Soichi, et al. "A Gastrointestinal Stromal Tumor of the Jejunum Presenting With an Intratumoral Abscess: a Case Report and a Literature Review." International Journal of Surgery Case Reports, vol. 48, 2018, pp. 65-68.
Ito S, Tsuchitani Y, Kim Y, et al. A gastrointestinal stromal tumor of the jejunum presenting with an intratumoral abscess: A case report and a literature review. Int J Surg Case Rep. 2018;48:65-68.
Ito, S., Tsuchitani, Y., Kim, Y., Hashimoto, S., Miura, Y., Uemura, T., Katsura, K., Abe, T., Sato, K., & Kato, H. (2018). A gastrointestinal stromal tumor of the jejunum presenting with an intratumoral abscess: A case report and a literature review. International Journal of Surgery Case Reports, 48, 65-68. https://doi.org/10.1016/j.ijscr.2018.05.012
Ito S, et al. A Gastrointestinal Stromal Tumor of the Jejunum Presenting With an Intratumoral Abscess: a Case Report and a Literature Review. Int J Surg Case Rep. 2018;48:65-68. PubMed PMID: 29859449.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A gastrointestinal stromal tumor of the jejunum presenting with an intratumoral abscess: A case report and a literature review. AU - Ito,Soichi, AU - Tsuchitani,Yuma, AU - Kim,Yuro, AU - Hashimoto,Souhei, AU - Miura,Yuichi, AU - Uemura,Takuji, AU - Katsura,Kazunori, AU - Abe,Takayuki, AU - Sato,Koichiro, AU - Kato,Hirotaka, Y1 - 2018/05/29/ PY - 2018/04/18/received PY - 2018/05/17/accepted PY - 2018/6/3/pubmed PY - 2018/6/3/medline PY - 2018/6/3/entrez KW - Case report KW - Gastrointestinal stromal tumor KW - Intratumoral abscess KW - Small intestine SP - 65 EP - 68 JF - International journal of surgery case reports JO - Int J Surg Case Rep VL - 48 N2 - INTRODUCTION: Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. The small intestine is the second-most frequent location where GISTs occur after the stomach. Attention should be paid to small intestinal GISTs because they infrequently present with acute abdomen, which necessitates emergency surgery. This report describes a patient with a small intestinal GIST developing a giant intratumoral abscess, in whom emergency surgery was performed. PRESENTATION OF CASE: A 56-year-old woman presented with worsening abdominal pain. Computed tomography scan showed an approximately 9.5 cm × 9 cm tumor bearing a thick and hypervascularized wall with an internal air-fluid level. Emergency laparotomy revealed the tumor originated from the jejunum, and partial resection of the jejunum was performed. A large amount of pus was contained inside the tumor. Immunohistochemically, the tumor was diagnosed as a high risk GIST of the Cjejunum, and imatinib mesylate was initiated. DISCUSSION AND CONCLUSION: When an intratumoral abscess in the abdomen is confirmed, GISTs should be listed as differential diagnosis. Complete surgical resetcion with careful handling and adjuvant chemotherapy with imatinib mesylate are considered to be important for this state. SN - 2210-2612 UR - https://www.unboundmedicine.com/medline/citation/29859449/A_gastrointestinal_stromal_tumor_of_the_jejunum_presenting_with_an_intratumoral_abscess:_A_case_report_and_a_literature_review_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2210-2612(18)30181-0 DB - PRIME DP - Unbound Medicine ER -