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Case Report Open Access
Background: Gastrointestinal stromal tumors are the most common mesenchymal tumors of the digestive tract with expression of phenotype KIT/CD117 and CD34+. The stomach and small intestine are the favored sites of occurrence. The most common complication is a gastrointestinal bleeding, bowel obstruction being rare and often associated with very large tumors. Case report: We describe a 62-years-old woman presented with symptoms of abdominal pain, increased volume of the abdomen. Clinical examination revealed mild abdominal distension and a large epigastric mass. Abdominal CT scan revealed a large abdominal mass presenting mixed structure. Intraoperative findings showed a large cystic mass with solid area of 30/20 cm invading the jejunum and the transverse colon. We performed an en-block resection of the mass with a segmental resection of the transverse colon and jejunum followed by manual end-toend anastomosis. Histo-pathological examination revealed a large gastrointestinal stromal tumor invading the jejunum and the colon. Conclusion: Jejunal and colonic gastrointestinal stromal tumors are not common and can present as bowel obstruction. The surgical management of a giant GIST can be a particularly complex challenge. It is imperative to avoid rupture of the tumor capsule as it is associated to poor outcomes. Tumor size is one of the main prognosis factors.
Giant tumor, Colon, Jejunum, GIST, Bowel obstruction, Colon