Open AccessGastrointestinal stromal tumor
Author(s) -
Mihaela Dranga,
Cătălina Mihai,
C Cijevschi,
Iulian Bejinariu,
Andrei Andronic,
Otilia Gavrilescu
Publication year - 2021
Publication title -
jurnal de chirurgie
Language(s) - English
Resource type - Journals
ISSN - 1584-9341
DOI - 10.7438/jsurg.2021.02.07
Subject(s) - medicine , gist , gastrointestinal tract , anemia , incidence (geometry) , immunohistochemistry , stromal tumor , abdomen , gastroenterology , pathology , ascites , radiology , stromal cell , physics , optics
Stromal tumors are the most common mesenchymal tumors in the digestive tract. Epidemiological data have shownan incidence of 11-20 per million people, the average age of diagnosis being 58 years. The location of these tumorscan be anywhere on the gastrointestinal tract. The positive diagnosis is established by histopathological andimmunohistochemical examination. The evolution of patients is correlated with the size of the initial tumor, themitotic index and the topographic location. We present the case of a patient with an old anemic syndrome,considered deficiency anemia, with multiple hospitalizations, without response to substitution therapy that suddenlydeveloped ascites. CT scan of the abdomen revealed a large abdominal tumor with jejunal origin. The positivediagnosis was established postoperatively by correlating the histopathological aspects with theimmunohistochemical tests. The postoperative evolution was marked by complications, and one week later, thepatient died secondary to a jejuno-colic fistula.