Spontaneous perforation of GIST of the Small Intestine: A Rare Cause of Perforation Peritonitis

Submitted by sysadmin1 on Wed, 02/22/2017 - 13:14
Oncology, Gastroenterology and Hepatology Reports ,2017,6,2,56-58.
Published:February 2017
Type:Case Report

Spontaneous perforation of GIST of the Small Intestine: A Rare Cause of Perforation Peritonitis

Amandeep Saharan1, Satish Dalal2, Mahavir Singh3, Chisel Bhatia4, Rajeev Sen5

1,2,3,4Department of Surgery, Post Graduate Institute of Medical, Rohtak, Haryana, INDIA.

5Department of pathology, PGIMS, Rohtak, Haryana, INDIA.

Abstract:

Gastrointestinal stromal tumors (GIST) are relatively rare and often present with vague symptoms. Their first clinical manifestation as acute abdomen due to perforation is extremely rare. We report a rare case of spontaneous perforation of exophytic gastrointestinal stromal tumor (GIST) causing perforation of jejunum. A 61 year, male patient presented with symptoms of acute abdomen. After evaluation, a laparotomy was performed, where perforation of a tumor in the jejunum was found. The perforated part along with the tumor was resected and the histopathological examination showed that the tumor was GIST. In emergency setting the patients with perforation peritonitis, a diagnosis of spontaneous perforation of GIST though rare should be kept in mind specially in elderly patients.

Perforation in small-intestine exophytic gastrointestinal stromal tumor.