Spontaneous perforation of jejunal gastrointestinal stromal tumour presenting with multiple intraperitoneal abscess cavities: a case report and review of literature

Abstract

Gastrointestinal stromal tumours (GISTs) account for less than 1% of gastrointestinal tumours. Perforation of GIST is very rare (0.8%) and it is infrequently described in the literature. We report a case of 53 years old gentleman who had spontaneous perforation of jejunal GIST with multiple intraperitoneal abscess cavities which is unique and extremely rare.

Spontaneous perforation of jejunal gastrointestinal stromal tumor: A case report

“…Most of GIST are diagnosed incidentally during surgery, CT or endoscopy but several examinations of the gastrointestinal track failed to reach the correct diagnosis with 100% certainty [ 3 , 7 ]. To diagnose GISTs we depend on the morphology of the tumor cells and on immunohistochemistry.…”

“…Imatinib gives a 14% absolute reduction in recurrence rate, achieving 97% recurrence-free survival [ [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] ]. Our discussion continues whether to establish stomas or to preform intestinal anastomosis in the presence of peritonitis in an emergency settings.…”

“…Lavage with fluids may have a dilutional effect. Saline and water, may act as a physical cleaner, antibacterial agent or antiseptics, such as chlorhexidine and povidone iodine or antibiotics, may be toxic to bacteria or tumor cells by bacterial cell lysis [ 2 , 4 , [6] , [7] , [8] , 10 ].…”