Gastrointestinal bleeding and intussusception due to gastrointestinal stromal tumor (GIST).
BACKGROUND
Small bowel tumors comprise 25% of gastrointestinal (GI) neoplasms, of which only between 0.2 and 1% correspond to gastrointestinal stromal tumors (GIST). GI bleeding is the most common presentation of GIST, being responsible in 1% of the cases. This type of neoplasm can also be the origin of an intussusception, which is an infrequent process during adult age, representing only 5% of all intestinal obstructions.


METHODS
We report a case of a patient who arrived at the emergency department due to abdominal pain and lower GI bleeding. The diagnostic process was not conclusive. After an exploratory laparotomy, the diagnosis was GI bleeding and intussusception due to GIST.


CONCLUSIONS
Surgery must be the last diagnostic and therapeutic resource, but it is sometimes necessary to localize bleeding and intestinal obstruction site.
Menéndez-Sánchez
Pablo
P
Servicio de Cirugía General y de Aparato Digestivo, Hospital General de Ciudad Real, Ciudad Real, España. pablomensan@hotmail.com
Villarejo-Campos
Pedro
P
Gambí-Pisonero
Daniel
D
Cubo-Cintas
Teófilo
T
Padilla-Valverde
David
D
Martín-Fernández
Jesús
J
D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D046152:Gastrointestinal Stromal Tumors / Q000150:complications*; D006801:Humans; D007443:Intussusception / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D007580:Jejunal Neoplasms / Q000150:complications*; D008875:Middle Aged