title: A case of gastrointestinal stromal tumor with spontaneous rupture in the greater omentum.
abstract: BACKGROUND
  Although GIST generally occurs in the digestive tract, such as the stomach, and small and small intestine primarily, Omental GIST tumours are very rare.
  
  
  METHODS
  A 63-year-old male patient, who recognized an abdominal tumor 1 year before admission, had a slight expansion of the tumor, reduction of the body and malaise, was consulted to our hospital. Abdominal CT and MRI revealed a cystic lesion of 26 cm in diameter with a clear boundary from immediately below the interseptum to the pelvic cavity, and imaged the septum and cystic wall. We considered that the patient had a cystic tumor in the abdomen, of which the primary lesion was unknown, and scheduled surgery. The patient unfortunately deteriorated with shock and sudden pain in the abdomen. Wediagnosed tumor rapture, and emergency surgery was performed. The tumor, weighing 3,600 g, was mostly cystic, and filled with sanguinous fluid and clot. Histologically, the tumor was composed of spindle cells, and was positive for c-KIT (CD117), slightly positive for alpha-smooth muscle actin (SMA), and S-100 protein positive. Based on these findings, the tumor was diagnosed as GIST primarily occurring in the greater omentum.
  
  
  CONCLUSIONS
  We experienced a rare case of GIST which originated from the greater omentum. Recently, the prognosis of GIST has been improved since the treatment with Imatinib.It is necessary to consider the diagnosis of GIST on encountering a mass in the greater omentum.
authors.affiliation: Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho, Nagoya, Aichi, 467-8601, Japan. hohara@med.nagoya-cu.ac.jp.
authors.forename: Norihiro
authors.initials: N
authors.lastname: Yoshimura
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Ohara
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Miyabe
authors.forename: Tessin
authors.initials: T
authors.lastname: Ban
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Sano
authors.forename: Itaru
authors.initials: I
authors.lastname: Naitoh
authors.forename: Kazuki
authors.initials: K
authors.lastname: Hayashi
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Ando
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nakazawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Joh