KEY WORDS: gastrointestinal stromal tumor; ultrasonography; double-balloon enteroscopy; contrast-enhancing agent.Gastrointestinal stromal tumors (GISTs) in the small intestine are rare and are sometimes incidentally detected by sudden gastrointestinal bleeding. The patients often undergo surgery without an accurate diagnosis, because most of these lesions are inaccessible by conventional endoscopy. Ultrasonography (US) has become an effective diagnostic modality for gastrointestinal diseases. In addition, recent studies have revealed that the microcirculation of the gastrointestinal wall can be assessed by contrastenhanced imaging using the agent SHU 508A (Levovist; Schering, Berlin, Germany) (1, 2). However, there have been few reports of the sonographic features of GISTs. We report a patient with GIST in the jejunum that was diagnosed by US as a screening tool and that was confirmed preoperatively by double-balloon enteroscopy.
CASE REPORTA 75-year-old man was admitted to our hospital because of general fatigue. On hematologic testing, carcinoembryonic antigen (CEA) was slightly increased (7.8 ng/ml), but results of other examinations were normal. He was 159 cm in height and 60 kg in weight, with stable vital signs. Routine abdominal US performed using the SSA-390A system (Toshiba, Tokyo), with 3.5-MHz curved and 7.5-MHz linear array transducers, showed a solid mass with an uneven irregular surface and clear boundaries,