title: Easy to swallow: detection of an extramural jejunal GIST by video capsule endoscopy.
abstract: We report a case of a 57-year-old woman with an obscure gastrointestinal bleed who was found to have an extramural gastrointestinal stromal tumour (GIST), detected by capsule endoscopy, and confirmed by laparoscopically-assisted enteroscopy and resection. Currently, major modalities used for detection of GISTs include double-balloon enteroscopy, capsule endoscopy and CT. Endoscopic measures, including capsule endoscopy, are limited in their ability to detect GISTs with extramural growth, as these typically do not demonstrate obvious luminal abnormalities. This case report illustrates a case in which an extraluminal GIST causing recurrent gastrointestinal bleeding presented as an ulcer, as seen on capsule endoscopy.
authors.affiliation: Department of Medicine, Allegheny Health Network, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
authors.forename: Ricky
authors.initials: R
authors.lastname: Kauser
authors.affiliation: Division of Gastroenterology, Allegheny Health Network, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
authors.forename: Ali
authors.initials: A
authors.lastname: Kazemi
authors.affiliation: Division of Gastroenterology, Allegheny Health Network, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
authors.forename: Katie
authors.initials: K
authors.lastname: Farah
authors.affiliation: Division of Gastroenterology, Allegheny Health Network, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Morrissey
mesh_terms: D053704:Capsule Endoscopy / Q000295:instrumentation* / Q000379:methods; D003937:Diagnosis, Differential; D058582:Double-Balloon Enteroscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000473:pathology; D046152:Gastrointestinal Stromal Tumors / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000473:pathology* / Q000601:surgery; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods; D008875:Middle Aged; D016896:Treatment Outcome; D014456:Ulcer / Q000175:diagnosis