AN UNFORTUNATE OUTCOME OF ILEUM GASTROINTESTINAL STROMAL TUMOR PRESENTING WITH METASTATIC LYMPHADENOPATHY

Sheeba Bhardwaj*, Sunder Singh, Ashish Nigam, Abhishek Soni, Ashok Kumar Chauhan and Vivek Kaushal

ABSTRACT

Introduction: Gastrointestinal stromal tumors (GISTs), are the most common mesenchymal tumors of the gastrointestinal (GI) tract, but are rare accounting approximately 1-3% of all gastrointestinal tumors. About 50-75% of GIST originates in the stomach and about 20% in the small bowel, while less frequent sites include the colon and rectum. In this case report we present a patient with GIST of small intestine with liver metastasis and regional lymphadenopathy. Case Presentation: A 55-year old male presented with complaints of pain abdomen and constipation from 4-years. Contrast-enhanced computed tomography (CECT) abdomen revealed a focal, eccentric mural thickening of small intestine loop with regional lymph nodes and liver metastases. Patient received tab Imatinib mesylate 400 mg to which he showed symptomatic relief; later the patient lost to follow-up. Conclusion: GIST of the small Intestine with regional lymphadenopathy is a rare condition and attention should be paid to patients presenting with complaint of malena or obstruction; keeping GIST in the differential diagnosis.

Keywords: .