Ruptured gastro-intestinal stromal tumor as a surgical emergency: A case report and literature review

Author:

Abdelgawad Mohamed1,Kamel Omar M2,Issa Peter P3ORCID,Omar Mahmoud2,Barghuthi Lutfi1ORCID,Davis Tyler1,Ismael Hishaam1

Affiliation:

1. Department of Surgery, University of Texas Health Science Center, UT Health East Texas , Tyler, TX , USA

2. Department of Surgery, School of Medicine, Tulane University , New Orleans, LA , USA

3. School of Medicine, Louisiana State University Health Sciences Center , New Orleans, LA , USA

Abstract

Abstract Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. GISTs of the small bowel are rare, and often present with an abdominal mass and/or bleeding. Chemotherapy and surgery are the mainstay of therapy. Here, we discuss an unusual case of a ruptured jejunal GIST with hemoperitoneum and recurrence despite surgical excision followed by Imatinib treatment. Forty-five cases of ruptured small intestinal GISTs were identified in the literature. Most cases were in males and were found to be at the site of the jejunum.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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