Gastrointestinal Stromal Tumor of the Small Intestine Presenting with Ileus

• Sugiyama Yoichi

  Department of Surgery, Aki City Hospital

• Sinbara Kanae

  Department of Surgery, Aki City Hospital

• Yokoyama Takashi

  Department of Surgery, Aki City Hospital

Bibliographic Information

Other Title

• イレウスにて発症した壁外発育型小腸GISTの1例

Abstract

An 86-year-old man was seen at our hospital because of nausea and vomiting. An abdominal plain X-ray film showed an intestinal loop and dilated intestinal loop and ileus. (?) Abdominal enhanced-CT revealed a markedly dilated small intestine and with an enhanced solid mass (8 cm in diameter). The ileus did not improve, so an emergency operation was performed. During the laparotomy, a tumor was observed at a point 240 cm anal from the Treitz ligament ; the tumor had an extraluminal stalk on the opposite side of the mesenterium. The small intestine was not necrosed, so a partial resection of the small intestine was performed. Immunohistochemical examination showed that the tumor was strongly positive for c-kit protein, partially positive for CD34, positive for S-100 protein, and negative for α-SMA and NSE. Thus, the histological diagnosis was gastrointestinal stromal tumor (GIST) of the small intestine. Here, we report this rare case of an extraluminally growing GIST causing strangulation ileus and review the relevant medical literature.

Journal

• Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)

  Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 27 (1), 103-107, 2007

  Japanese Society for Abdominal Emergency Medicine

Keywords

• 小腸Gastrointestinal stromal tumor (GIST)
• イレウス

Details

• CRID: 1390282679710742912
• NII Article ID: 130004508580
• NII Article ID: 10018715652
• NII Book ID: AN10426469
• DOI: 10.11231/jaem.27.103
• ISSN: 18824781
• ISSN: 13402242
• Web Site: https://search.jamas.or.jp/link/ui/2007146718
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed