Primary Small Bowel GIST Presenting as a Life-Threatening Emergency: A Report of Two Cases

Primary Small Bowel GIST Presenting as a Life-Threatening Emergency: A Report of Two Cases

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Gastrointestinal stromal tumor (GIST) is a rare stromal neoplasm, which represents the most common mesenchymal tumor of the gastrointestinal tract.It is characterized by indolent clinical symptoms, although it can present as a life-threatening emergency.Herein, we present two cases of primary small bowel GIST treated at our department.A 68-year-old female patient presented to our emergency department with turbo air m3f24-1-n a diffuse abdominal pain of acute onset.Imaging studies revealed a mass at proximal jejunum, with a nearby free air and fluid.

At surgery, a mass of 9 cm was found at proximal jejunum, 3 cm distal to the treitz ligament, with perforation on the lateral wall of the mass.En bloc resection was performed.Pathology report was positive for gastrointestinal stromal tumor.A 70-year-old male patient presented to our emergency department with 3 days of dark tarry stool and few hours of hematochezia.Computed tomography angiography revealed a mass satisfyer pro penguin next generation at the pelvis, with calcifications, attached to the distal ileum, with intraluminal blush of intravenous iodine.

At surgery, a mass of 8 cm at the distal ileum was found.Resection of the mass along with a 20 cm of ileum was completed.Histopathology report was positive for malignant gastrointestinal stromal tumor.