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Perforated small bowel GIST in an immunocompromised male
Courtney B Dey1, Victor Fong1, Sarah Shaves1
1Department of Radiology, Eastern Virginia Medical School, P.O. Box 1980, Norfolk, VA 23501, USA.
Radiology Case Reports
|February 22, 2019
Summary
Gastrointestinal stromal tumors (GISTs) are rare GI tract tumors. This case highlights a perforated GIST in an immunocompromised patient, leading to acute peritonitis.
Area of Science:
- Gastroenterology
- Oncology
- Pathology
Background:
- Gastrointestinal stromal tumors (GISTs) are rare mesenchymal neoplasms of the GI tract, originating from interstitial cells of Cajal.
- GISTs account for approximately 2% of all GI tumors, with variable clinical presentations.
Observation:
- A young, immunocompromised patient presented with a progressively enlarging abdominal mass.
- The patient's symptoms evolved over time, indicating a dynamic disease process.
Findings:
- The abdominal mass was identified as a perforated gastrointestinal stromal tumor.
- The perforation led to the development of acute peritonitis, a serious intra-abdominal condition.
Implications:
- This case underscores the importance of considering GIST in the differential diagnosis of abdominal masses, especially in immunocompromised individuals.
- Perforation represents a critical complication of GIST, necessitating prompt diagnosis and management to prevent severe outcomes like peritonitis.
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