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Case Report

Open Access

A rare cause of intestinal obstruction due to an exophytic gastrointestinal stromal tumor of the small bowel

  • ATAKAN SEZER1
  • MEHMET ALI YAGCI1
  • AHMET RAHMI HATIPOGLU1
  • IRFAN COSKUN1
  • IRFAN CICIN2
  • UFUK USTA3
  • OSMAN TEMIZOZ4

1,Trakya Universitesi Hastanesi

2, Genel Cerrahi Anabilim Dali

3,Department of Medical Oncology Trakya University School of Medicine

4,Department of Pathology Trakya University School of Medicine

5,Department of Radiology Trakya University School of Medicine

DOI: 10.22514/SV42.102009.7 Vol.4,Issue 2,October 2009 pp.32-34

Published: 28 October 2009

*Corresponding Author(s): ATAKAN SEZER E-mail: atakansezer@hotmail.com

Abstract

Introduction: Gastrointestinal stromal tumors constitute a distinct group of rare gastrointestinal tract tumors that originate from the interstitial cells of Cajal. These jejunoileal lesions are a rare cause of obstruction but can be associated with substantial morbidity. 

Case: A 59-year-old woman presented to the emergency department with abdominal pain and distention. Physical exami-nation revealed tenderness and rebound in right lower quadrant. Computed tomography revealed a mass in lower right quadrant. A 9x9x4 cm exophytic ileal mass was observed at exploration. Preoperative diagnose was a small bowel tumor and then segmental resection and primary anastomosis were performed. Histopathological investigation revealed spindle cells that stained strongly for C-117, consistent with a diagnosis of a malign gastrointestinal stromal tumor. 

Conclusion: We conclude that exophytic small bowel gastrointestinal stromal tumors are rare lesions, which should be kept in mind by physicians among the diagnosis of small bowel obstructions in order to reduce substantial morbidity and mortality. 

Keywords

intestinal obstruction, gastrointestinal stromal tumor, small bowel, surgery 

Cite and Share

ATAKAN SEZER,MEHMET ALI YAGCI,AHMET RAHMI HATIPOGLU,IRFAN COSKUN,IRFAN CICIN,UFUK USTA,OSMAN TEMIZOZ. A rare cause of intestinal obstruction due to an exophytic gastrointestinal stromal tumor of the small bowel. Signa Vitae. 2009. 4(2);32-34.

References

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