Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : September | Volume : 11 | Issue : 9 | Page : PD03 - PD04

A Diagnostic Surprise For A Right Iliac Fossa Mass - A Perforated Ileal Gastrointestinal Stromal Tumour

J Sanjay Prakash, Anita Samraj, G Sabarish Kumar, R Vijai

1. Assistant Professor, Department of General Surgery, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India. 2. Professor, Department of General Surgery, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India. 3. Senior Resident, Department of General Surgery, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India. 4. Postgraduate Student, Department of General Surgery, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India.

Correspondence Address :
Dr. J. Sanjay Prakash,
7/21, Sri Labdhi Colony, T.T.K Road, Alwarpet, Chennai-600018, Tamil Nadu, India.
E-mail: sanprinarch@gmail.com

Abstract

Gastrointestinal Stromal Tumours (GISTs) are tumours of the gut found mostly in stomach and small intestine. The complications are Gastrointestinal (GI) bleeding, obstruction, pain and rarely perforation. We are reporting an abnormal presentation of GIST masquerading as an acute abdomen with Right Iliac Fossa (RIF) mass in 60-year-old lady. Contrast Enhanced Computed Tomography (CECT) of abdomen revealed a peripherally enhancing encapsulated abscess in RIF in close contact with base of caecum and adjacent peritonitis suggesting caecal perforation. On laparotomy, a gangrenous perforated ileal GIST was identified along the antimesenteric border of ileum. Pathological examination confirmed the tumour to be a GIST of spindle cell type further reiterated by immunohistochemistry. Our case report emphasizes, GIST as a rare and unusual differential diagnosis of RIF mass, and to have high degree of clinical suspicion when a similar situation is encountered in an emergency scenario, keeping in mind the poor outcome due to delay in appropriate management of the disease.

Keywords

Haematochezia, Intestinal perforation, Laparotomy, Terminal ileum

How to cite this article :

J Sanjay Prakash, Anita Samraj, G Sabarish Kumar, R Vijai. A DIAGNOSTIC SURPRISE FOR A RIGHT ILIAC FOSSA MASS - A PERFORATED ILEAL GASTROINTESTINAL STROMAL TUMOUR. Journal of Clinical and Diagnostic Research [serial online] 2017 September [cited: 2017 Nov 21 ]; 11:PD03-PD04. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=September&volume=11&issue=9&page=PD03-PD04&id=10560

DOI and Others

DOI: 10.7860/JCDR/2017/27704.10560

Date of Submission: Feb 18, 2017
Date of Peer Review: Apr 25, 2017
Date of Acceptance: May 31, 2017
Date of Publishing: Sep 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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