J Acute Care Surg.  2021 Nov;11(3):129-132. 10.17479/jacs.2021.11.3.129.

A Case Report of a Bleeding Duodenal Gastro-Intestinal Stromal Tumor and its Emergent Management

• Pillay Y
• Mabadeje O

• KMID: 2522756
• DOI: http://doi.org/10.17479/jacs.2021.11.3.129

Abstract

A gastrointestinal stromal tumor (GIST) arising in the duodenum is a rare subtype of mesenchymal tumor. GISTs have a reported incidence of 11.9–19.6 per million population and duodenal GISTs make up just 5% of these tumors. Common presentation of duodenal GISTs is through an upper gastrointestinal bleed, of which, they are responsible for less than 1% of all gastrointestinal bleeding. In an elective setting, surgical management remains the mainstay of treatment. In this Case Report, the emergent management of a localized duodenal resection was performed by an acute care surgeon, in an unstable patient. The risk factors for malignancy include tumor size and a high mitotic cell index. Tumor recurrence is determined by tumor size, tumor rupture, high mitotic cell index, a non-gastric location and gastrointestinal bleeding.

Keyword

bleeding; duodenum; gastrointestinal stromal; gastrointestinal neoplasms; tumors