Unusual Acute, Massive Lower Gastrointestinal Bleeding Secondary to a Proximal Jejunal Gastrointestinal Stromal Tumor: A Case Report. 2023

Ahlam A Alsulaiman, and Mohammed N AlAli, and Mohamed S Essa, and Ossama Alamri, and Abdullah M Albdah, and Khaled S Ahmad
Faculty of Medicine, College of Medicine, Vision College, Riyadh, SAU.

The most common primary non-epithelial neoplasms of the gastrointestinal (GI) tract are gastrointestinal stromal tumors (GISTs). Ten percent (10%) of GISTs arise from the jejunum. Usually, patients complain of abdominal discomfort, but they may present with complications such as intestinal obstruction or bleeding. This report describes a 35-year-old male who presented with unusually massive, acute lower GIĀ bleeding. After resuscitation and investigations (including a contrast-enhanced computed tomography of the abdomen and lower GI endoscopy), the patient underwent diagnostic laparoscopy and bowel resection of the affected section with anastomosis, and he had an eventful postoperative course. Studies suggest that GI bleeding in GIST occurs due to the ulceration and necrosis of the overlying mucosa caused by the pressure effect of the mass. Small-bowel GISTs are categorized based on their size. Many guidelines have advocated conservative management for small GISTs (<2 cm) that are in the jejunum. This patient has a rare case of a small jejunal GIST with a rare presentation of massive lower GI bleeding. A multidisciplinary approach is useful in managing such cases, and our case showed that laparoscopic intervention is a feasible option in a stable patient with massive lower GI bleeding.

UI MeSH Term Description Entries

Related Publications

Ahlam A Alsulaiman, and Mohammed N AlAli, and Mohamed S Essa, and Ossama Alamri, and Abdullah M Albdah, and Khaled S Ahmad
August 2021, International journal of surgery case reports,
Ahlam A Alsulaiman, and Mohammed N AlAli, and Mohamed S Essa, and Ossama Alamri, and Abdullah M Albdah, and Khaled S Ahmad
August 2023, Cureus,
Ahlam A Alsulaiman, and Mohammed N AlAli, and Mohamed S Essa, and Ossama Alamri, and Abdullah M Albdah, and Khaled S Ahmad
January 2010, Revista de gastroenterologia de Mexico,
Ahlam A Alsulaiman, and Mohammed N AlAli, and Mohamed S Essa, and Ossama Alamri, and Abdullah M Albdah, and Khaled S Ahmad
February 2010, The American surgeon,
Ahlam A Alsulaiman, and Mohammed N AlAli, and Mohamed S Essa, and Ossama Alamri, and Abdullah M Albdah, and Khaled S Ahmad
January 2002, Annali italiani di chirurgia,
Ahlam A Alsulaiman, and Mohammed N AlAli, and Mohamed S Essa, and Ossama Alamri, and Abdullah M Albdah, and Khaled S Ahmad
January 2019, Revista de gastroenterologia de Mexico (English),
Ahlam A Alsulaiman, and Mohammed N AlAli, and Mohamed S Essa, and Ossama Alamri, and Abdullah M Albdah, and Khaled S Ahmad
September 2022, Medicine,
Ahlam A Alsulaiman, and Mohammed N AlAli, and Mohamed S Essa, and Ossama Alamri, and Abdullah M Albdah, and Khaled S Ahmad
September 2017, Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques,
Ahlam A Alsulaiman, and Mohammed N AlAli, and Mohamed S Essa, and Ossama Alamri, and Abdullah M Albdah, and Khaled S Ahmad
May 2021, The Permanente journal,
Ahlam A Alsulaiman, and Mohammed N AlAli, and Mohamed S Essa, and Ossama Alamri, and Abdullah M Albdah, and Khaled S Ahmad
May 2020, Gastroenterology,
Copied contents to your clipboard!