A gastrointestinal stromal tumor of the jejunum presenting with an intratumoral abscess: A case report and a literature review

This report describes a patient with a small intestinal GIST developing a giant intratumoral abscess, in whom emergency surgery was performed.Presentation of caseA 56-year-old woman presented with worsening abdominal pain. Computed tomography scan showed an approximately 9.5 cm × 9 cm tumor bearing a thick and hypervascularized wall with an internal air-fluid level. Emergency laparotomy revealed the tumor originated from the jejunum, and partial resection of the jejunum was performed. A large amount of pus was contained inside the tumor. Immunohistochemically, the tumor was diagnosed as a high risk GIST of the Cjejunum, and imatinib mesylate was initiated.Discussion and conclusionWhen an intratumoral abscess in the abdomen is confirmed, GISTs should be listed as differential diagnosis. Complete surgical resetcion with careful handling and adjuvant chemotherapy with imatinib mesylate are considered to be important for this state.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research