Limited Wedge Resection of a Duodenal Gist in a Patient with Intermittent Melena
Gastrointestinal Stromal Tumors account for 1% - 2% of all gastrointestinal (GI) tract tumors. Among GISTs, duodenal localization occurs in less than 5% and usually presents with upper GI bleeding. A 45-year-old man presented in the outpatient department with complaints of epigastric discomfort, i...
| Published in: | Liaquat National Journal of Cancer Care |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
| Published: |
Liaquat National Hospital and Medical College
2021-06-01
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| Subjects: | |
| Online Access: | https://journals.lnh.edu.pk/lnjcc/pdf/96e296e3-6463-4bdb-8eab-7092f7e84998.pdf |
| Summary: | Gastrointestinal Stromal Tumors account for 1% - 2% of all gastrointestinal (GI) tract tumors. Among GISTs, duodenal localization
occurs in less than 5% and usually presents with upper GI bleeding. A 45-year-old man presented in the outpatient department with
complaints of epigastric discomfort, intermittent melena and undocumented weight loss for the preceding 3 months. Initial upper GI
endoscopy showed mild duodenitis and no other upper GI pathology. For unexplained symptoms, a CT Scan was performed which
demonstrated a well-defined solid lesion along the second part of the duodenum. An endoscopic ultrasound (EUS)-guided biopsy of a
subepithelial lesion at D2 was performed. Immunohistochemistry findings were suggestive of GIST. Wedge resection of the duodenal
mass was done.
Duodenal GIST should be considered as a differential in cases of GI bleeding when other differentials have been ruled out. Limited
resection of duodenal GIST should be considered over pancreaticoduodenectomy, in case of small size tumors. |
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| ISSN: | 2789-0112 2789-0120 |