title: A rare cause of severe dyspareunia: a case report and literature review.
abstract: Gastrointestinal stromal tumors (GISTs) of the rectum are rare, and their clinical manifestations are variable. We report the case of a 23-year-old woman who was referred complaining of dyspareunia during coitus. We performed digital vaginal and rectal investigations, ultrasound, colonoscopy, and computed tomography. These examinations confirmed the presence of a lesion measuring about 6 × 5 × 5 cm in size attached to the posterolateral left rectum wall. We performed a circumanal excision, then arrived at the mass between the muscles of the pelvic floor. Pathological studies indicated that the tumor was a high-grade GIST, and was clear at the surgical margins. On follow-up, a GIST was found at the gastric fundus via an endoscopic biopsy. Imatinib treatment was initiated because the patient refused a second operation. The gastric lesion disappeared 6 months after imatinib treatment. Dyspareunia disappeared 1 month after operation.
authors.affiliation: Department of Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, Turkey. akbulutsami@gmail.com
authors.forename: Sami
authors.initials: S
authors.lastname: Akbulut
authors.forename: Bahri
authors.initials: B
authors.lastname: Cakabay
authors.forename: Arsenal
authors.initials: A
authors.lastname: Sezgin
authors.forename: Cihan
authors.initials: C
authors.lastname: Ozmen
mesh_terms: D004414:Dyspareunia / Q000209:etiology*; D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000150:complications*; D006801:Humans; D012002:Rectal Diseases / Q000150:complications*; D055815:Young Adult