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Gastrointestinal stromal tumor with hemoperitoneum masquerading as appendicitis
Todd A Worley1, Shabirhusain S Abadin, Elizabeth Revesz
1Department of Surgery, St Joseph Hospital, Chicago, Illinois 60657, USA.
International Surgery
|May 20, 2010
Summary
Gastrointestinal stromal tumors (GIST) are rare, often presenting with bleeding. A ruptured GIST mimicking appendicitis highlights a rare cause of hemoperitoneum.
Area of Science:
- Gastroenterology
- Oncology
- Radiology
Background:
- Gastrointestinal stromal tumors (GIST) are rare mesenchymal neoplasms.
- GIST incidence is 11-15 cases per million worldwide annually.
- Common GIST presentations include gastrointestinal hemorrhage, early satiety, and weight loss.
Observation:
- Multislice computed tomography (CT) is a key diagnostic tool for GIST.
- Hemoperitoneum resulting from a ruptured GIST is an uncommon clinical scenario.
- A patient presented with symptoms mimicking acute appendicitis.
Findings:
- The patient's right lower-quadrant pain and peritonitis were attributed to hemoperitoneum.
- The source of the hemoperitoneum was identified as a ruptured GIST originating from the ileum.
Implications:
- This case underscores the importance of considering GIST in the differential diagnosis of abdominal emergencies.
- Ruptured GIST can present atypically, mimicking common surgical conditions like appendicitis.
- Accurate and timely diagnosis through imaging is crucial for appropriate patient management.
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