A case of giant unruptured jejunal gastrointestinal stromal tumor

Abstract

A gastrointestinal stromal tumor (GIST) is a most common mesenchymal tumor of the gastrointestinal tract. GIST is more common on the stomach, followed by the small intestine and rarely occur in other locations. We present an unusual case of large jejunal GIST arises from the antimesenteric border. Most of the small intestinal GIST present as a mobile mass in the right iliac fossa. Hence, a patient with mobile right iliac fossa mass without signs of obstruction or minimal signs of obstruction should consider the small bowel GIST as one of the differential diagnosis and plan for prompt intervention. Good preoperative imaging will diagnose small intestine GIST. Proper preoperative diagnosis and timely intervention will reduce the complication such as tumor rupture, spillage, R1 resection, and local recurrence. Postsurgical chemotherapy with Imatinib will reduce the recurrence rate and increase the survival.

Keywords

• gastrointestinal stromal tumor
• jejunal gastrointestinal stromal tumor
• right iliac fossa mass
• unruptured