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Surgery Journals | Surgery Articles | Journal of General Surgery | High Impact Articles | Scient Open Access
Journal of General Surgery


Case Report

A Giant Cystic Stromal Tumor in the Proximal Jejunum Mimicked As a Periappendicular Abscess

Li-Fen Bai, Chun-Run Ling, Zhou Ye, Mo- Jin Wang, and Wen Zhuang

Correspondence Address :

Wen Zhuang
Department of Gastrointestinal Surgery
West China Hospital
Sichuan University, Chengdu
China, 37 Guo Xue Xiang, Chengdu 610041
Sichuan Province, China
Fax: +86-028-85422876, Tel: 17761209914

Received on: March 01, 2019, Accepted on: March 11, 2019, Published on: March 18, 2019

Citation: Li-Fen Bai, Chun-Run Ling, Zhou Ye, Mo-Jin Wang, and Wen Zhuang (2019). A Giant Cystic Stromal Tumor in the Proximal Jejunum Mimicked As a Periappendicular Abscess.

Copyright: 2019 Wen Zhuang et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Gastrointestinal stromal tumors (GISTs) usually present as a solid mass arising from the interstitial cells of Cajal, which often exhibit non-specific in laboratory test and features clinically varies with the size and location of tumors. Hereby, we report a case of jejunal GIST with cystic change mimicking as periappendicular abscess that could not be confirmed preoperation. A 45-year-old female was admitted to our hospital emergency department with increasing abdominal distension with pain in the right lower abdomen.
Physical examination revealed a large mass with peritoneal irritation sign in the right lower abdomen. A contrast-enhance computed tomography (CT) scan of the abdomen revealed a large cystic lesion located in lower abdominal, but the source of the mass could not be determined. Acute episode of chronic appendicitis with periappendicular abscess was suspected. Intra-operatively the mass was an 11 x 8 x 8 cm cyst with approximately 500 ml serous fluid present inside it arising from the anti-mesenteric border of the jejunum which was about 10 cm away from the duodenojejunal junction. The mass excised along with resection of the involved jejunal segment was done. The final diagnosis of a jejunal GIST was made by immunohistochemistry study. The patient recovered well postoperative. The latest CT scan did not show any evidence of recurrence or metastasis following a 19-month follow-up.

Abbreviation: GIST = gastrointestinal stromal tumor, CT = computed tomography
Keywords: Gastrointestinal stromal tumor, Jejunal tumor, Abdominal mass, Cystic mass, Periappendicular abscess.