Gastrointestinal stromal tumour masquerading as a diverticular bleed

Ebrahim Mirakhor; Mary T. Wong; Laith H. Jamil

doi:10.1136/bcr-2019-232169

Gastrointestinal stromal tumour masquerading as a diverticular bleed

Ebrahim Mirakhor, Mary T. Wong, Laith H. Jamil

Pathology

Research output: Contribution to journal › Article › peer-review

Abstract

Gastrointestinal stromal tumours (GISTs) only account for a small percentage of gastrointestinal malignancies with a wide range of clinical presentations depending on the location and size of the tumour. Herein, we present the case of a 55-year-old woman with occult gastrointestinal bleeding (GIB) despite imaging and two separate oesophagogastroduodenoscopy colonoscopies. On double-balloon enteroscopy, an oozing diverticular-appearing lesion in the ileum was identified which on laparoscopy was connected to a large pelvic GIST. This case highlights the importance of considering GISTs in patients with occult GIB, as a high index of suspicion is required for diagnosis.

Original language	English (US)
Article number	e232169
Journal	BMJ Case Reports
Volume	12
Issue number	11
DOIs	https://doi.org/10.1136/bcr-2019-232169
State	Published - Dec 1 2019

Keywords

GI bleeding
Gastrointestinal system
Pathology
Radiology (diagnostics)
Tyrosine Kinase Inhibitor

ASJC Scopus subject areas

General Medicine

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10.1136/bcr-2019-232169

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title = "Gastrointestinal stromal tumour masquerading as a diverticular bleed",

abstract = "Gastrointestinal stromal tumours (GISTs) only account for a small percentage of gastrointestinal malignancies with a wide range of clinical presentations depending on the location and size of the tumour. Herein, we present the case of a 55-year-old woman with occult gastrointestinal bleeding (GIB) despite imaging and two separate oesophagogastroduodenoscopy colonoscopies. On double-balloon enteroscopy, an oozing diverticular-appearing lesion in the ileum was identified which on laparoscopy was connected to a large pelvic GIST. This case highlights the importance of considering GISTs in patients with occult GIB, as a high index of suspicion is required for diagnosis.",

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AU - Mirakhor, Ebrahim

AU - Wong, Mary T.

AU - Jamil, Laith H.

N1 - Publisher Copyright: © BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2019/12/1

Y1 - 2019/12/1

N2 - Gastrointestinal stromal tumours (GISTs) only account for a small percentage of gastrointestinal malignancies with a wide range of clinical presentations depending on the location and size of the tumour. Herein, we present the case of a 55-year-old woman with occult gastrointestinal bleeding (GIB) despite imaging and two separate oesophagogastroduodenoscopy colonoscopies. On double-balloon enteroscopy, an oozing diverticular-appearing lesion in the ileum was identified which on laparoscopy was connected to a large pelvic GIST. This case highlights the importance of considering GISTs in patients with occult GIB, as a high index of suspicion is required for diagnosis.

AB - Gastrointestinal stromal tumours (GISTs) only account for a small percentage of gastrointestinal malignancies with a wide range of clinical presentations depending on the location and size of the tumour. Herein, we present the case of a 55-year-old woman with occult gastrointestinal bleeding (GIB) despite imaging and two separate oesophagogastroduodenoscopy colonoscopies. On double-balloon enteroscopy, an oozing diverticular-appearing lesion in the ileum was identified which on laparoscopy was connected to a large pelvic GIST. This case highlights the importance of considering GISTs in patients with occult GIB, as a high index of suspicion is required for diagnosis.

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Gastrointestinal stromal tumour masquerading as a diverticular bleed

Abstract

Keywords

ASJC Scopus subject areas

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