An uncommon cause of acute abdomen: Isolated small bowel obstruction due to gastrointestinal stromal tumor

Year 2012, Volume: 3 Issue: 1, 130 - 132, 01.03.2012

Murat Okudan Fatih Taşkesen Tufan Egeli Zülfü Arıkanoğlu Abdullah Böyük Akın Önder

https://doi.org/10.5799/ahinjs.01.2012.01.0130

Abstract

Gastrointestinal stromal tumors (GIST) are mesenchymal tumors with original histologic features which located primarily in the gastrointestinal tract and abdomen. Most common place for GIST is stomach (50%) and then the small intestine (25%) but GIST can be anywhere in the gastrointestinal system. Most of the patients shall be operated with other diagnoses or symptoms of obstruction. Here, clinical appearance of a case of localized jejunal stromal tumor is reviewed according to view of the literature.

Keywords

Acute abdomen, gastrointestinal stromal tumors, small bowel obstruction

Akut batının nadir bir nedeni: Gastrointestinal stromal tümöre bağlı izole incebarsak tıkanması

Abstract

Gastrointestinal stromal tümörler ( GİST), primer olarak gastrointestinal sistem ve abdomende yerleşen, özgün histolojik özellikleri olan, mezenkimal tümörlerdir. Gastrointestinal sistemin her yerinde olabilirler ama en sık mide (%50) daha sonra da ince barsaklarda (%25) görülürler. Hastaların çoğu başka tanılar veya obstrüksiyon bulguları ile ameliyata alınmaktadırlar. Burada, jejunumda lokalize bir stromal tümör vakası ve klinik görünümü literatür verileri ışığında gözden geçirildi.

Keywords

Akut batın, gastrointestinal stromal tümörler, incebarsak obstrüksiyonu

References

• Kindblom LG, Remotti HE, Aldenborg F, Meis-Kind- blom JM. Gastrointestinal pacemaker cell tumour (GIPACT): gastrointestinal stromal tumours show phenotypic characteristics of the interstitial cells of Cajal. Am J Pathol 1998;152(5):1259-69.
• Agaimy A, Wunsch PH, Hofstaedter F, et al. Minute gastric sclerosing stromal tumors (GIST tumorlets) are common in adults and frequently show c-KIT mu- tations. Am J Surg Pathol 2007;31(1):113-20.
• Blay JY, Bonvalot S, Casali P, et al. GIST consensus meeting panelists. Consensus meeting for the man- agement of gastrointestinal stromal tumors. Ann On- col 2005;16(4):566-78.
• Gold JS, Dematteo RP. Combined surgical and molec- ular therapy: the gastrointestinal stromal tumor model. Ann Surg 2006;244(2):176-84.
• Engin G, Asoglu O, Kapran Y, Mert G. A gastrointestinal stromal tumor with mesenteric and retroperitoneal in- vasion. World J Surg Oncol 2007;5(10):121.
• Duffaud F, Blay JY. Gastrointestinal stromal tumors: bi- ology and treatment. Oncology 2003; 65(3): 187-197.
• Sturgeon C, Cheifec G, Espat NJ. Gastrointestinal stro- mal tumors: a spectrum of disease. Surg Oncol 2003; 12(1): 21-26.
• Connolly EM, Gaffney E, Reynolds JV. Gastrointestinal stromal tumors. Brit J Surg 2003; 90(10): 1178-86.
• Whang EE, Ashley SW, Zinner MJ: Small intestine. In: Brunicardi FC, Andersen DA, Billiar TR ve ark. (Eds), Schwartz’s Principles of Surgery, 8. Baskı, Mc Graw- Hill Comp., New York, 2005, s:1017-54.
• Bölükbasi H, Nazli O, Tansug T, et al. Gastrointestinal stromal tumors (GISTs): analysis of 20 cases. Hepa- togastroenterology 2006;53(69):385-8.
• Piccinni G, Marzullo A, Angrisano A, et al. Endoscopic resection of benign very low-risk gastric gastrointesti- nal stromal tumors. Is it enough? Eur J Gastroenterol Hepatol 2007;19(2):177-9.
• Katoh T, Itoh Y, Mohri T, Suzuki H. Endoscopic enu- cleation of gastrointestinal stromal tumors of the stomach: Report of five cases. World J Gastroenterol 2008;14(16):2609-11.
• Nieto EA, Aufroy AL, Portulas ED, et al. Gastro-intes- tinal stromal tumors: experience in 49 patients. Clin Transl Oncol 2006;8(8):594-8.