title: BWH emergency radiology--surgical correlation: small-bowel GI stromal tumor perforation.
abstract: We present the radiological and intraoperative correlation of a large necrotic gastrointestinal stromal tumor (GIST) with features of a tumor-bowel fistula and perforation in a 49-year-old woman presenting to the emergency department with a 4-day history of worsening abdominal pain, vomiting, and diarrhea. The patient underwent urgent exploratory laparotomy for partial resection of the small bowel, with primary anastomosis. The purpose of this article is to emphasize the importance for emergency radiologists to be familiar with this entity and its possible complications to help guide the surgeons in the patient's management.
authors.affiliation: Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA, fecabral4@hotmail.com.
authors.forename: Fernanda C
authors.initials: FC
authors.lastname: Cabral
authors.forename: Urvi
authors.initials: U
authors.lastname: Fulwadhva
authors.forename: Wendy
authors.initials: W
authors.lastname: Landman
authors.forename: Neil
authors.initials: N
authors.lastname: Ghushe
authors.forename: Aaron
authors.initials: A
authors.lastname: Sodickson
authors.forename: Bharti
authors.initials: B
authors.lastname: Khurana
mesh_terms: D003937:Diagnosis, Differential; D004630:Emergencies; D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007414:Intestinal Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D007416:Intestinal Perforation / Q000000981:diagnostic imaging* / Q000601:surgery*; D007421:Intestine, Small; D008875:Middle Aged; D009336:Necrosis; D014057:Tomography, X-Ray Computed
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