Titre |
Giant Gastrointestinal Stromal Tumor with Double Bowel Obstruction: Diagnostic and Therapeutic Challenges-Case Report |
Auteurs |
GNANGNON FREDDY HOUEHANOU RODRIGUE [1],
IMOROU SOUA YACOUBOU [2],
GBESSI GASPARD DANSOU [3],
MELI Anicet [4],
TAKIN Romulus [5],
Lawani ismail [6],
KPOSSOU ABOUDOU RAÏMY [7],
DOSSOU FRANCIS MOÏSE DJIDÉNOU [8],
OLORY-TOGBE JEAN-LÉON TOUSSAINT [9],
|
Journal: |
Cancer sugery |
Catégorie Journal: |
Internationale |
Impact factor: |
0 |
Volume Journal: |
2 |
DOI: |
1000112 |
Resume |
Background: Gastrointestinal stromal tumors are the most common mesenchymal tumors of the digestive tract
with expression of phenotype KIT/CD117 and CD34+. The stomach and small intestine are the favored sites of
occurrence. The most common complication is a gastrointestinal bleeding, bowel obstruction being rare and often
associated with very large tumors.
Case report: We describe a 62-years-old woman presented with symptoms of abdominal pain, increased volume
of the abdomen. Clinical examination revealed mild abdominal distension and a large epigastric mass. Abdominal
CT scan revealed a large abdominal mass presenting mixed structure. Intraoperative findings showed a large cystic
mass with solid area of 30/20 cm invading the jejunum and the transverse colon. We performed an en-block
resection of the mass with a segmental resection of the transverse colon and jejunum followed by manual end-toend
anastomosis. Histo-pathological examination revealed a large gastrointestinal stromal tumor invading the
jejunum and the colon.
Conclusion: Jejunal and colonic gastrointestinal stromal tumors are not common and can present as bowel
obstruction. The surgical management of a giant GIST can be a particularly complex challenge. It is imperative to
avoid rupture of the tumor capsule as it is associated to poor outcomes. Tumor size is one of the main prognosis
factors. |
Mots clés |
Giant tumor; Colon; Jejunum; GIST; Bowel obstruction |
Pages |
1 - 3 |
Fichier |
(PDF) |