Giant gastric GIST with fast-growing mass after intra-tumoral bleeding

Yeabsera M Duguma; Tesfahun A Seid; Yonas G Shumiye; Tesfaye A Dinagde; Segni Kejela

doi:10.1093/jscr/rjad427

Giant gastric GIST with fast-growing mass after intra-tumoral bleeding

J Surg Case Rep. 2023 Jul 29;2023(7):rjad427. doi: 10.1093/jscr/rjad427. eCollection 2023 Jul.

Authors

Yeabsera M Duguma¹, Tesfahun A Seid², Yonas G Shumiye³, Tesfaye A Dinagde¹, Segni Kejela¹

Affiliations

¹ College of Health Sciences, Department of Surgery, Addis Ababa University, Addis Ababa, Ethiopia.
² Department of Surgery, All Africa Leprosy Rehabilitation and Training Center, Addis Ababa, Ethiopia.
³ College of Health Sciences, Department of Pathology, Addis Ababa University, Addis Ababa, Ethiopia.

Abstract

Only a few instances of giant gastrointestinal stromal tumors and even fewer cases of such tumors with intra-tumoral bleeding have ever been reported. This report represents a case with both giant size and intra-tumoral spontaneous hemorrhage. Here a 42-year-old male patient presented with abdominal pain and abdominal distention of 5-month duration. The distention had fast growth over 1 month before the hospital presentation. Physical examination showed a conjunctival pallor and an ill-defined abdominal mass. A contrast-enhanced computed tomography (CT) scan showed a huge intra-abdominal mass with variable enhancements. Surgical exploration was done and a huge mass measuring 10.5 kg with dimensions of 32 × 30 × 15 cm was excised en-bloc with distal gastrectomy.

Publication types

Case Reports