Spontaneously ruptured gastrointestinal stromal tumor (GIST) of the jejunum mimicking acute appendicitis.
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.
Ajduk
Marko
M
Department of Surgery, University Hospital Merkur, Zagreb, Croatia. majduk@globalnet.hr
Mikulić
Danko
D
Sebecić
Bozidar
B
Gasparov
Slavko
S
Patrlj
Leonardo
L
Erdelez
Lidija
L
Skopljanac
Andrija
A
Staresinić
Mario
M
Desković
Slobodan
S
Sosa
Tomislav
T
Sitić
Sanda
S
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