Unusual presentation of a giant jejunal gastrointestinal stromal tumor

AIM: Gastrointestinal stromal tumours (GISTs) are rare tumours. Tumour rupture is an additional adverse prognostic factor and should be recorded, regardless of whether it took place before or during surgery. CASE REPORT: A case report of hemoperitoneum from spontaneous rupture of a gastrointestinal stromal tumor of the jejunum is presented. The patient underwent an urgent laparotomy. An "en bloc" resection was performed. CONCLUSION: The information in the literature is examined. Spontaneous rupture of the tumor with concomitant hemoperitoneum is an important prognostic factor in these patients. The hemoperitoneum contributes to a worse prognosis because of its ability to produce peritoneal seeding KEY WORDS: Gist.

Descriviamo il caso clinico di un tumore stromale del digiuno, giunto alla nostra osservazione in emergenza per un quadro di emoperitoneo. L’emoperitoneo era secondario alla rottura spontanea del tumore. Il caso è stato trattato chirurgicamente. Riteniamo che la chirurgia R0 rappresenti la terapia ottimale nei pazienti affetti da queste rare neoplasie. Riteniamo che la laparoscopia debba essere riservata al trattamento delle neoplasie di dimensioni contenute.