Surgery Today

, Volume 44, Issue 11, pp 2180–2186

Perforated gastrointestinal stromal tumor (GIST) in a true jejunal diverticulum in adulthood: report of a case

  • Masatoshi Shoji
  • Yutaka Yoshimitsu
  • Tsutomu Maeda
  • Hiroshi Sakuma
  • Masuo Nakai
  • Hiroshi Ueda
Case Report

DOI: 10.1007/s00595-013-0732-0

Cite this article as:
Shoji, M., Yoshimitsu, Y., Maeda, T. et al. Surg Today (2014) 44: 2180. doi:10.1007/s00595-013-0732-0

Abstract

A 61-year-old man was referred to us for investigation of acute abdominal pain. Computed tomography showed a 5.9 × 5.3 × 5.0 cm lump of food residue in the jejunum, and a large amount of free air and ascites around the liver and right paracolic gutter. He underwent emergency laparotomy for suspected peritonitis from perforation by a foreign body in the small intestine. We identified purulent exudate in the abdominal cavity and perforation of a jejunal cystic mass, attached ~40 cm from Treitz’s ligament at the anti-mesenteric side of the jejunum. Based on a diagnosis of jejunal duplication with perforation, we resected that part of the small intestine and performed intra-abdominal drainage. Pathological findings confirmed the diagnosis of a perforated gastrointestinal stromal tumor (GIST) in a true jejunal diverticulum. Histopathological evidence suggests that intestinal pressure and/or hemorrhage can cause perforation in the background of a true jejunal diverticulum. To our knowledge, this is the first case report of a perforated GIST in a true jejunal diverticulum.

Keywords

Perforation GIST Jejunal diverticulum 

Copyright information

© Springer Japan 2013

Authors and Affiliations

  • Masatoshi Shoji
    • 1
  • Yutaka Yoshimitsu
    • 1
  • Tsutomu Maeda
    • 1
  • Hiroshi Sakuma
    • 1
  • Masuo Nakai
    • 1
  • Hiroshi Ueda
    • 1
  1. 1.Department of SurgeryHoju Memorial HospitalIshikawaJapan