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Year : 2022  |  Volume : 10  |  Issue : 1  |  Page : 102-104

Gastrointestinal stromal tumor of jejunum presenting as a pelvic mass: A rare case report and review of literature

Department of General and Minimal Access Surgery, MP Birla Hospital and Research Center, Chittorgarh, Rajasthan, India

Correspondence Address:
Dr. Banwari Lal Bairwa
Department of General and Minimal Access Surgery, MP Birla Hospital and Research Center, Chittorgarh - 312 025, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/amhs.amhs_306_21

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Gastrointestinal stromal tumors (GISTs) are mesenchymal in origin and quite rare in the gastrointestinal system. Jejunal GISTs are extremely rare, approximately 0.1%–3% of all gastrointestinal (GI) tumors. The stomach is the most common site while small intestine (usually duodenum) is the second most common site in the GI tract. The clinical manifestations of GISTs range from asymptomatic to mild abdominal pain, mass, mechanical obstruction, and intestinal hemorrhage as well as perforation. Final diagnosis is made by combined histopathological examination (HPE) and immunohistochemistry (IHC) examination of resected specimen. Here, we present the rare case of jejunal GIST as pelvis mass in 48-year-old gentleman. The patient presented with pain abdomen and heaviness in lower abdomen. On contrast-enhanced computed tomography abdomen, diagnosis of pelvic mass was made. Exploratory laparotomy was done. A solid mass measuring 6 cm × 8 cm arising from antimesenteric border of proximal jejunum found into pelvic cavity. Jejunal segment with tumor resected and anastomosis done. HPE and IHC confirmed intermediate grade GIST of the jejunum. Imatinib mesylate was initiated due to probability of disease recurrence (24%). Carefully complete surgical excision and adjuvant therapy with imatinib is the cornerstone of intermediate to high degree GISTs.

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