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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 17, No. 2, 2012, pp. 74-76
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Bioline Code: js12039
Full paper language: English
Document type: Case Report
Document available free of charge
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East and Central African Journal of Surgery, Vol. 17, No. 2, 2012, pp. 74-76
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Gastrointestinal Stromal Cell Tumor (GIST) Presenting as an Abdomino-pelvic Tumor
Dahiya, K.; Dalal, M. & Singh, S.
Abstract
Background: Gastrointestinal stromal tumors (GIST) are rare mesenchymal tumors that may
mimic ovarian tumor on presurgical testing. These tumors are usually asymptomatic, often
discovered accidentally during endoscopic or radiologic examinations,.
Case Presentations: In first case a 50 years old woman presented with irregular bleeding per
vaginum, intermittent right lower abdominal pain and urinary frequency over the preceding 4
months. Physical examination and imaging studies revealed a pelvic mass of 18-week-gestational
size. An exploratory laparotomy showed a huge fragile pelvic tumor, measuring 20 × 20 cm, arising
from the jejunum. Immunohistochemical staining confirmed the presence of CD-117.
In second case an 53-year-old, postmenopausal, woman presented with abdominal fullness and
constipation for the preceding 3-4 days. Physical examination and imaging studies revealed a huge
pelvic mass, suggestive of a cystic degenerated myoma. An exploratory laparotomy revealed a large
tumor originating from the ileum.
Conclusion: Gynecologists should keep in mind the possibility of non gynaecological tumors
(GISTs) in the differential diagnosis in pelvic tumors.
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© Copyright 2012 - East and Central African Journal of Surgery
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