title: Spontaneously ruptured gastrointestinal stromal tumor (GIST) of the jejunum mimicking acute appendicitis.
abstract: Gastrointestinal stromal tumors (GISTs) are characterized with diverse clinical presentations, including acute and chronic gastrointestinal bleeding, abdominal pain, presence of an intra-abdominal mass, anorexia, and intestinal obstruction. A 60-year-old obese woman presented as an acute abdominal emergency with right lower quadrant (RLQ) pain and tenderness, nausea and leukocytosis, all mimicking acute appendicitis. Laparotomy revealed a spontaneously ruptured GIST of the jejunum, which was localized to the RLQ due to postoperative adhesions following previous two cesarean sections and cholecystectomy. Complete surgical resection was performed, followed by an uneventful early postoperative course.
authors.affiliation: Department of Surgery, University Hospital Merkur, Zagreb, Croatia. majduk@globalnet.hr
authors.forename: Marko
authors.initials: M
authors.lastname: Ajduk
authors.forename: Danko
authors.initials: D
authors.lastname: Mikulić
authors.forename: Bozidar
authors.initials: B
authors.lastname: Sebecić
authors.forename: Slavko
authors.initials: S
authors.lastname: Gasparov
authors.forename: Leonardo
authors.initials: L
authors.lastname: Patrlj
authors.forename: Lidija
authors.initials: L
authors.lastname: Erdelez
authors.forename: Andrija
authors.initials: A
authors.lastname: Skopljanac
authors.forename: Mario
authors.initials: M
authors.lastname: Staresinić
authors.forename: Slobodan
authors.initials: S
authors.lastname: Desković
authors.forename: Tomislav
authors.initials: T
authors.lastname: Sosa
authors.forename: Sanda
authors.initials: S
authors.lastname: Sitić
mesh_terms: D000208:Acute Disease; D001064:Appendicitis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D009765:Obesity; D012421:Rupture