Giant exophytic gastrointestinal stromal tumor (GIST) causing gastric outlet obstruction: case report and review of literature

Vol. 64 No. 4, 2023

ROMANIAN JOURNAL of MORPHOLOGY and EMBRYOLOGY

Victor-Mihai Sacerdotianu, Cecil Sorin Mirea, Petrica Popa, Dan Ionut Gheonea, Maria Camelia Foarfa, Marius Matei, Daniela Larisa Sandulescu, Cristian Virgil Lungulescu, Tudorel Ciurea, Bogdan Silviu Ungureanu

Background: Gastrointestinal stromal tumors (GISTs) are rare mesenchymal tumors, mostly located within the stomach. About 30% of GISTs are incidentally diagnosed and as they become symptomatic may be associated with bleeding, bowel obstruction or spontaneous rupture. Case presentation: We present the case of a middle-aged patient diagnosed with a giant gastric GIST, which presented for intermittent gastric outlet obstruction symptoms, and emphasize the major imagistic, histopathological, and therapeutic challenges that may be encountered. There are only several cases of gastric exophytic gastric GIST provoking intermittent gastric outlet obstruction. Tumor resection should be adapted to every patient s status, focused on en bloc extraction, with preservation of invaded organs as much as possible.

Corresponding author: Marius Matei, Lecturer, MD, PhD; e-mail: marius.matei@umfcv.ro; Cecil Sorin Mirea, Professor, MD, PhD; e-mail: mirea_cecil@yahoo.com, mirea_cecil@yahoo.com

DOI: 10.47162/RJME.64.4.17 Download PDF
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