Giant exophytic gastrointestinal stromal tumor (GIST) causing gastric outlet obstruction: case report and review of literature

Gastrointestinal stromal tumors (GISTs) are rare mesenchymal tumors, mostly located within the stomach. About 30% of GISTs are incidentally diagnosed and as they become symptomatic may be associated with bleeding, bowel obstruction or spontaneous rupture. We present the case of a middle-aged patient...

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Bibliographic Details
Published inRomanian journal of morphology and embryology Vol. 64; no. 4; pp. 595 - 601
Main Authors Sacerdoţianu, Victor Mihai, Mirea, Cecil Sorin, Popa, Petrică, Gheonea, Dan Ionuţ, Foarfă, Maria Camelia, Matei, Marius, Săndulescu, Daniela Larisa, Lungulescu, Cristian Virgil, Ciurea, Tudorel, Ungureanu, Bogdan Silviu
Format Journal Article
LanguageEnglish
Published Romania Academy of Medical Sciences, Romanian Academy Publishing House, Bucharest 01.10.2023
Subjects
Case Report
Gastric Outlet Obstruction - etiology
Gastrointestinal Stromal Tumors - complications
Humans
Intestinal Obstruction
Middle Aged
Rupture, Spontaneous
Stomach Neoplasms - complications
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Summary:Gastrointestinal stromal tumors (GISTs) are rare mesenchymal tumors, mostly located within the stomach. About 30% of GISTs are incidentally diagnosed and as they become symptomatic may be associated with bleeding, bowel obstruction or spontaneous rupture. We present the case of a middle-aged patient diagnosed with a giant gastric GIST, which presented for intermittent gastric outlet obstruction symptoms, and emphasize the major imagistic, histopathological, and therapeutic challenges that may be encountered. There are only several cases of gastric exophytic gastric GIST provoking intermittent gastric outlet obstruction. Tumor resection should be adapted to every patient's status, focused on en bloc extraction, with preservation of invaded organs as much as possible.
ISSN:1220-0522
2066-8279
DOI:10.47162/RJME.64.4.17