Title: A Rare Presentation of Right Iliac Fossa Mass- Perforated Ileal Gastrointestinal Stromal Tumour
Authors: Dr K. Nithya, Dr R. Ramesh
DOI: https://dx.doi.org/10.18535/jmscr/v9i1.26
Abstract
Gastrointestinal stromal tumors are tumours of the gut mainly seen in small bowel 25%, stomach 50 -60%.It is 0.2- 0.3% of all the GI tumours. It’s a rare but most common non epithelial small bowel tumor. It usually attains large size presenting as a palpable mass. They have lesser affinity for lymphatics. In this study it presented as an acute abdomen with right iliac fossa mass. Contrast enhanced computed tomography of abdomen revealed an enhanced peripheral lesion with features of peritonitis, suspicion of caecal perforation. Laprotomy findings showed gangrenous ileal gastrointestinal tumour over antimesentric border of ileum pathological study revealed a spindle type tumor. In my study this case was a rare and unusual differential diagnosis of right iliac fossa mass. This needs expertise suspicion and timely intervention to manage masquerading acute abdomen, to prevent morbidity, mortality.
Keywords: Terminal ileum, caecum, intestinal perforation, hematochezia.
References
- Connolly EM, Gaffney E, Reynolds JV. Gastrointestinal stromal tumours. Br J Surg. 2003;90: 1178-86.(pub med)
- Miyata S, Bliss DW. A gastrointestinal stromal tumour found in perforated Meckels diverticulum. Surg case reports. Springet.2016; 2(1): 67 (pmc free article)
- Dematteo RP, Lewis JJ, Leung, Mudan SS, Woodruff JM, Brennan MF. Two hundred gastrointestinal stromal tumours: recurrence patterns and prognostic factors for survival. Ann Surg. 2000;231(1):(51-58pmc free article)
- Lopez-Tomassetti Fernandez EM, Hernandez JR,Usha M.Perforated gastrointestinal stromal tumour in Meckels diverticulum treated laprascopically. Asian J Endos surg. 2013;126-129.(pub med)
- Kumar V, Rau, Kamnaths. Perforated Gist in jejunum- A rare cause of abdominal cocoon J clin Diagn Res. 2014;8:132- 133.(pmc free article) (pubmed)
- Skipworth J, Fanshawe A, West M, Al Bahrani A. Perforation as a rare presentation of gastric gasstrointestinal stromal tumours: a cade report and review of the literature. Ann R Coll Surg Engl 2014;96 (1):01-05 (pmc free article) (pub med)
- Nancharaiah P, Venkateswaralu MC, Aishwarya M. Gist in Rif masquerading as appendicular mass. IOSR J DENT med sci 2016,15:2279-2861.
- Sreevastha MR caecal gastrointestinal stromal tumours .curr opi gastro enterol. 2012; 28 113- 23.(pub med)
- Grover S Adhley SWZ, Raut CP. Small intestine gadtrointestinal stromal tumours. Curropingastroenterol 2012, 28:113-23(pubmed)
- Judson I.Gastrointestinal syromal tumors, biology and treatment Ann Oncol.2002, 13 (suppl) 287- 89. (pubmed)
- Bucher P,Taylor S, Villiger P, Morel P, Brundler M A. Are there any prognostic factors for small intestinal tumours? Am J surg. 2004, 187:761-66. (pubmed)
- Liegel B, Hornick JL, Corless CL, Fletchet CD. Monoclonal antibody DOG1.1 shows higher sensitivity than kit in the diagnosis. (pub med)
- Crosby JA, Catton CN,Davis malignant gastrointestinal stromal tumours of the small intestine:(pub mef)
- Fletcher CD, Berman JJ, Corekess C. Asian consensus guidelines for the diagnosis and management of gist. 2002, 33 (5)459 – 465.(pubmed)
- Koo DH, RyuMH, Kim Km, yang Hk, Sawaki A, Hirota S, et al.A consensus approach hum.pathol.canc.res.treat.2016,48:4,1155- 66. (pmc free article).