Laparoscopic Resection of Ileal Gastro Intestinal Stromal Tumor Presenting as Gastro Intestinal Bleed; a Case Report
Mushtaq Chalkoo *
Government Medical College, Srinagar, Jammu and Kashmir, India.
Mumtaz Din Wani
Government Medical College, Srinagar, Jammu and Kashmir, India.
Zahid Mohd Rather
Government Medical College, Srinagar, Jammu and Kashmir, India.
Mohammad Younis
Government Medical College, Srinagar, Jammu and Kashmir, India.
Peer Hilal Ahmad Makhdoomi
Government Medical College, Srinagar, Jammu and Kashmir, India.
Awhad Mueed Yousuf
Government Medical College, Srinagar, Jammu and Kashmir, India.
Wasim Raja
Government Medical College, Srinagar, Jammu and Kashmir, India.
Syed Shakeeb Arsalan
Government Medical College, Srinagar, Jammu and Kashmir, India.
Zubair Gul Lone
Government Medical College, Srinagar, Jammu and Kashmir, India.
Aabid Rasool Bhat
Government Medical College, Srinagar, Jammu and Kashmir, India.
*Author to whom correspondence should be addressed.
Abstract
Gastrointestinal stromal tumors are the rare tumors of GI tract and account for 2% of all the tumors of digestive tract. They are usually found in stomach and are also located in the small intestine. They usually present with mucosal ulceration and gastro intestinal bleeding. The bleeding from the small intestine is difficult to diagnose however angiography is a useful tool. We present a case of a GIST located in the ileum presenting with a lower gastrointestinal bleeding. A patient presenting with lower G.I bleeding was admitted in our hospital The colonoscopy was performed which showed blood coming through the ileal opening into the caecum. Patient was asked to undergo CT enterography, which showed an ileal GIST. The patient was subjected to diagnostic laparoscopy which revealed an ileal Gist 25 cms from ileocaecal junction compressing the ileal lumen. Laparoscopic resection of the diseased segment of bowel with GIST was performed and ileo-ileal side to side anastomosis was done with V-loc sutures.
Keywords: Gastrointestinal stromal tumor, ileum, laparoscopy, resection