Jejunal gastrointestinal stromal tumour presenting with recurrent melena: a case report
- Gastroenterology & Hepatology: Open Access
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Amal Taj Elsir,1 Abdelhadi AM Abdelgadir,2 Mustafa EH Bahar,3 Hilmi D Elsiddig,2 Nadia IA El Dawi,4 Hatim MY Mudawi1
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Abstract
Background: Gastrointestinal stromal tumours (GIST) are rare, representing less than 3% of all gastrointestinal malignancies with approximately 30% of GIST’s located in the small bowel. Common symptoms include abdominal discomfort, weight loss and gastrointestinal bleeding.
Case presentation: We describe a case of a 38-year-old lady presenting with recurrent melena, and normal upper and lower GI endoscopy where Computed Tomography Angiography revealed an exophytic jejunal mass. Following surgical resection, histopathology and immunohistochemistry confirmed the diagnosis of jejunal GIST.
Conclusion: Small intestinal GIST is a rare cause of gastrointestinal bleeding, in this case multidisciplinary team approach by gastroenterology, radiology, surgery, histopathology and oncology were the corner stone in successful management.
Keywords
Jejunal tumours, GIST, GI Bleeding