Malignant gastrointestinal stromal tumor (GIST) of the jejunum: the mysterious complex presentation
Journal Title: International Journal of Medical Science and Public Health - Year 2015, Vol 4, Issue 8
Abstract
Gastrointestinal stromal tumors (GISTs) are malignant and rare form of soft tissue sarcoma of the digestive tract. The incidence of GIST is very low (2 in 1,00,000) while jejunal GIST are extremely rare, accounting for 0.1%–3% of all gastrointestinal (GI) tumors. GIST is usually associated with abdominal pain, palpable mass, or GI tract (GIT) bleeding. About 5% of GI hemorrhages are ambiguous in nature, with GISTs being one of the cause. We herein present a case of 78-year-old man of malignant GIST of jejunum. The patient had mysterious and complex presentation of repeated per rectal (P/R) bleeding and melena, which resulted in hypotension. Upper GI endoscopy and colonoscopy showed normal findings. Despite the symptomatic treatment and investigation, the cause was obscure. Hence, emergency laparotomy was performed and diagnosis rendered. The highlight of this case was unusual nature of malignant GIST presented with obscure overt GI bleeding and diagnosed only at life-saving laparotomy with further confirmation on histopathology.
Authors and Affiliations
Parvez Mujawar, Dhiraj B Nikumbh, Kishor H Suryawanshi, Poonam S Pagare, Rajesh Thakur
Keywords
Related Articles
- EP ID EP90049
- DOI 10.5455/ijmsph.2015.25022015228
- Views 134
- Downloads 0
Role of cultural practices in neonatal sepsis
Background : Delivery of a child at home by a relative or a dhai and other associated health hazards are still a challenge to the medical fraternity. Traditional harmful practices are equally responsible for neonatal...
Study of alcohol consumption and its sociodemographic determinants in a tribal village in Mandla district
Background: Alcohol consumption is considered a serious public health problem in many countries including India because of the associated health hazards and antisocial consequences. Nearly 70% of Indian population...
Prevalence of tobacco, alcohol, and other drug abuse among school-going male adolescents in Jammu
Background: Considerable morbidity and mortality all through the life occurs as a result of multiple risk behaviors inculcated during adolescence. Adolescence (10–19 years) is an important stage of life for establish...
Prevalence and severity of self-reported depression in urban population of Uttar Pradesh
Background: Depression is a usual mental health disturbance that exhibits depressed frame of mind, absence of attention, or happiness. Today, depression is estimated to affect 350 million people. There is lack of...
Improved access to safe blood must be prioritized as a core component of comprehensive efforts to prevent maternal deaths in Uttar Pradesh, India
Background: Postpartum hemorrhage is responsible for 39% of maternal deaths in India. Provision of blood transfusion is one of the key components of functional First Referral Units (FRU) meant for providing Compre...