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Case Reports
. 2014 Mar;8(3):132-3.
doi: 10.7860/JCDR/2014/7073.4134. Epub 2014 Mar 15.

Perforated GIST in Jejunum - A Rare Cause of Abdominal Cocoon

Usha M  1 , Vijay Kumar  2 , Rau Aarathi R  3 , Sulatha Kamath  3
Affiliations
Case Reports

Perforated GIST in Jejunum - A Rare Cause of Abdominal Cocoon

Usha M et al. J Clin Diagn Res. 2014 Mar.

Abstract

Gastrointestinal stromal tumours [GISTs] are rare but they commonly arise in stomach, and small or large intestines. They are usually accompanied with gastrointestinal bleeding. We are reporting a case of GIST which occurred in a 52-year-old male,who presented with acute abdomen. On laparotomy, the entire segment of jejunum was found to be partially encased in fibrocollagenous tissue, which formed a cocoon. Moreover, the intestine showed diffuse thickening with multiple tumour masses, which is an uncommon gross finding in GIST. This case report highlights variable clinical and morphological manifestations of GIST. Awareness on its rare clinical manifestations, including abdominal cocoon, may help in making an early diagnosis and providing timely appropriate treatment.

Keywords: Abdominal cocoon; GIST; Multiple; Peritonitis.

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Figures

[Table/Fig-1a]:
[Table/Fig-1a]:
shows small intestine showing diffuse thickening with multiple nodular gray white masses
[Table/Fig-1b]:
[Table/Fig-1b]:
shows closer view of the largest mass
[Table/Fig-2a]:
[Table/Fig-2a]:
shows interlacing bundles of spindle shaped tumor cells (H and E; X100 )
[Table/Fig-2b]:
[Table/Fig-2b]:
shows tumor cells with strong positivity for CD 117 (c-kit)
See this image and copyright information in PMC

References

    1. SKP John, S Basu, RJ Lawrance, N Davies. An unusual presentation of a gastrointestinal stromaltumour (GIST) World J Surg Oncol. 2007:5–78. - PMC - PubMed
    1. R Kaushik, RPS Punia, H Mohan, AK Attri. Tuberculous abdominal cocoon – a report of cases and review of the literature. World Journal of Emergency Surgery. 2006:1–18. - PMC - PubMed
    1. B Kirschtein, S Mizrahi, I Sinelnikov, L Lantsberg. Abdominal Cocoon as a Rare Cause of Small Bowel Obstruction in an Elderly Man: Report of a Case and Review of the Literature. Indian J Surg. 2011;73:73–75. - PMC - PubMed
    1. KT Foo, NgKC, A Rauff, WC Foong, R Sinniah. Unusual small intestinal obstruction in adolescent girls: the abdominal cocoon. Br J Surg. 1978;65:427–30. - PubMed
    1. S Ranganathan, BJJ Abdullah, V Sivanesaratnam. Abdominal Cocoon Syndrome. J HK Coll Radiol. 2003;6:201–03.

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