A RARE CASE OF PERFORATED ILEAL GIST PRESENTING AS ACUTE ABDOMEN

Abstract

A case of perforated gastrointestinal stromal tumor (GIST) of ileum causing acute abdomen is described, with a brief review of the literature. A male patient presented with symptoms of acute abdomen. After evaluation, a laparotomy was performed, where perforation of a tumor in the ileum was found. The tumor was attached to the ileal loop and also to the peritoneal attachment of the dome of urinary bladder. The tumor was resected with adjacent ileal loop and ileoileal anastomosis was done . On examining later revealed a perforation of small bowel at the site of tumor and histopathological examination showed that the tumor was GIST. Postoperative period was uneventful and the patient received treatment, using imatinib. Gastrointestinal stromal tumors are relatively rare and often present with vague symptoms. Their rst clinical manifestation as acute abdomen due to their perforation is extremely rare. In emergency laparotomy, a R0 resection is required and adjuvant therapy with imatinib must be considered.