A case of gastrointestinal bleeding secondary to a small bowel gastrointestinal stromal tumor before causing hemoperitoneum

Oncology, Gastroenterology and Hepatology Reports,2015,4,1,49-51.
Published:January 2015
Type:Case Report
Author(s) affiliations:

Praveen S. Padasali, Edigara Govindaraj1, Kasa Somasekhar2

Department of Surgery, Kannur Medical College Hospital, Kannur, Kerala,

1Departments of General Surgery and 2Surgery, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, India


Gastrointestinal stromal tumors (GISTs) is a rare stromal neoplasm that represent the most common mesenchymal tumor of the GI tract, accounting for 0.2% of all GI malignancies and 5% of all sarcomas.[1,2] GIST originating from interstitial cells of Cajal, which are regulators of gut peristalsis, are preferentially located in the stomach and the small intestine.[3] It is characterized by indolent clinical symptoms including vague abdominal pain, weight loss, GI bleeding and obstruction, which is caused by the growing tumor. The usual presentation of GIST is a GI bleed. Acute presentation of GIST with features of hemoperitoneum has never been reported. We report an unusual case of small bowel GIST in which the patient presented with GI bleed before presenting as hemoperitoneum.