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Unexpectedly ease surgery for a worrisome abdominal mass: Pedunculated GISTs
Adil Baskiran1, Emrah Otan, Cemalettin Aydin
1Inonu University School of Medicine, Department of General Surgery, Malatya, Turkey.
International Journal of Surgery Case Reports
|September 4, 2013
Summary
Giant abdominal masses can be challenging to diagnose. This case highlights a large, pedunculated gastrointestinal stromal tumor (GIST) that was unexpectedly easy to surgically remove.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Abdominal masses present diagnostic challenges.
- Gastrointestinal stromal tumors (GISTs) are mesenchymal neoplasms with variable sizes.
- Large GISTs can compress adjacent organs, complicating diagnosis.
Purpose of the Study:
- To report a case of a large, pedunculated GIST with an unexpectedly simple surgical excision.
- To emphasize the diagnostic considerations for giant abdominal masses.
Main Methods:
- A 38-year-old female presented with a 15cm abdominal mass.
- Preoperative diagnosis suggested pancreatic cancer.
- Laparotomy revealed a gastric wall-originating GIST, resected in 30 minutes.
Main Results:
- The large, pedunculated GIST was successfully excised with a stapler device.
- Operative duration was short (30 minutes).
- Postoperative recovery was uneventful.
Conclusions:
- Large, pedunculated GISTs can be difficult to differentiate preoperatively.
- GISTs should be included in the differential diagnosis of giant abdominal masses.
- This case demonstrates that even large GISTs can be amenable to straightforward surgical resection.
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