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Case Reports in Surgery
Volume 2017, Article ID 1814254, 5 pages
https://doi.org/10.1155/2017/1814254
Case Report

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

1Department of General Surgery, Rambam Health Campus, Haifa, Israel
2Colorectal Surgery Unit, Rambam Health Campus, Haifa, Israel
3Trauma and Acute Care Surgery Unit, Rambam Health Campus, Haifa, Israel
4Surgical Oncology Unit, Rambam Health Campus, Haifa, Israel

Correspondence should be addressed to Safi Khuri; li.vog.htlaeh.mabmar@iruhk_s

Received 14 January 2017; Accepted 8 March 2017; Published 28 March 2017

Academic Editor: Tahsin Colak

Copyright © 2017 Safi Khuri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 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 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.