• Ir J Med Sci · Jul 2005

    Case Reports

    A case of a gastrointestinal stromal tumour presenting as acute abdomen.

    • S A Badger, M Yousaf, and W J Campbell.
    • Dept of Surgery, Ulster Hospital, Dundonald, UK.
    • Ir J Med Sci. 2005 Jul 1; 174 (3): 84-5.

    BackgroundGastrointestinal stromal tumour (GIST) has many modes of presentation. This is the first reported GIST presenting as an acute abdomen.MethodsA man presented with signs and symptoms suggestive of acute appendicitis. Examination under anaesthesia revealed a mass. At laparotomy a strangulated mass was found originating from the greater curve of the stomach. Subsequent histopathology confirmed this to be a gastrointestinal stromal tumour, probably of a benign nature. Post-operative investigations did not show any metastatic spread.ConclusionsGISTs arise from the gastrointestinal tract, omentum, and mesentery. Presentation is generally non-specific and it is rare for them to present acutely. Management should include staging to exclude any metastatic spread.

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