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Spontaneously Ruptured Gastrointestinal Stromal Tumor (GIST) of the Jejunum Mimicking Acute Appendicitis
Marko Ajduk
Danko Mikulić
Božidar Šebečić
Slavko Gašparov
Leonardo Patrlj
Lidija Erdelez
Andrija Škopljanac
Mario Starešinić
Slobodan Dešković
Tomislav Šoša
Sanda Šitić
Abstract
Gastrointestinal stromal tumors (GISTs) are characterized with diverse clinical presentations, including acute and chronic gastrointestinal bleeding, abdominal pain, presence of an intra-abdominal mass, anorexia, and intestinal obstruction. A 60-year-old obese woman presented as an acute abdominal emergency with right lower quadrant (RLQ) pain and tenderness, nausea and leukocytosis, all mimicking acute appendicitis. Laparotomy revealed a spontaneously ruptured GIST of the jejunum, which was localized to the RLQ due to postoperative adhesions following previous two cesarean sections and cholecystectomy. Complete surgical resection was performed, followed by an uneventful early postoperative course.
Keywords
gastrointestinal stromal tumor; acute appendicitis; intestinal bleeding; intestinal ulceration; abdominal mass; proto oncogene c kit; tyrosin kinase; imatinib mesylate
Hrčak ID:
5635
URI
Publication date:
15.12.2004.
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